Individual
JOLENE M TIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNS
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 382-2798
Mailing address
101 LYNX CT, MANKATO, MN 56001-8654
(507) 382-2798
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
0110
MN
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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