Individual
TABITHA CHRISTINE UITENBROEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
4090 N ORION LN, APPLETON, WI 54913-7619
(920) 427-9873
Mailing address
4090 N ORION LN, APPLETON, WI 54913-7619
(920) 427-9873
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11593-33
WI
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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