Individual
TIFFANY ELIZABETH HLADOVCAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5425 GARDEN LN, STEVENS POINT, WI 54482-9377
(715) 370-3534
Mailing address
5425 GARDEN LN, STEVENS POINT, WI 54482-9377
(715) 370-3534
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
226834-30
WI
363LF0000X
Family Nurse Practitioner
Primary
13026-33
WI
Other
Enumeration date
05/04/2022
Last updated
07/14/2022
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