Individual
TRICIA A BURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APNP, FNP-C
Contact information
Practice address
777 ALGOMA BLVD, OSHKOSH, WI 54901-3534
(920) 424-2424
(920) 424-1769
Mailing address
3187 ECLIPSE DR, GREEN BAY, WI 54311-4995
(920) 265-6355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11152-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11152-33
APNP
WI
Enumeration date
08/05/2021
Last updated
07/10/2025
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