Individual
LISA R THILTGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2575 E EVERGREEN DR, APPLETON, WI 54913-8910
(920) 404-2240
(920) 404-2229
Mailing address
N9224 CONSTELLATION DR, APPLETON, WI 54915
(630) 247-3385
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11786-33
WI
363LF0000X
Family Nurse Practitioner
209022574
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100209638
—
WI
Enumeration date
04/07/2021
Last updated
08/28/2025
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