Individual
SHYLEENA DETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, PMHNP-BC
Contact information
Practice address
5060 COUNTY HWY E, WARRENS, WI 54666-8636
(608) 572-0472
Mailing address
5060 COUNTY HWY E, WARRENS, WI 54666-8636
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13573-33
WI
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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