Individual
JENNIFER JOYCE TRETSVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
130 S KNOWLES AVE, NEW RICHMOND, WI 54017-1727
(715) 246-3018
(715) 246-3019
Mailing address
130 S KNOWLES AVE, NEW RICHMOND, WI 54017-1727
(715) 246-3018
(715) 246-3019
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
136262-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44373400
—
WI
Enumeration date
02/26/2008
Last updated
12/09/2015
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