Individual
TINA LOUISE OPELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MS CS FNP
Contact information
Practice address
711 W ADAMS ST, BLACK RIVER FALLS, WI 54615-5052
(715) 284-3662
Mailing address
711 W ADAMS ST, BLACK RIVER FALLS, WI 54615-5052
(715) 284-3662
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
138024
WI
Other
Enumeration date
10/18/2005
Last updated
05/05/2020
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