Individual
ANGELA P TIEPELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
910 N MAIN ST, RICE LAKE, WI 54868-1234
(715) 790-5054
Mailing address
910 N MAIN ST, RICE LAKE, WI 54868-1234
(715) 790-5054
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
173822-30
WI
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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