Individual
MS. TERESE TYSON TETZLAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
910 MAYER AVE, MADISON, WI 53704-4256
(608) 285-6757
Mailing address
1105 GLACIER HILL DR, MADISON, WI 53704-8589
(608) 243-8246
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
84481-30
WI
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
84481-30
WI
163WX0106X
Occupational Health Registered Nurse
84481-30
WI
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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