Individual
TIFFANY LYNN MENNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1855 S KOELLER ST, OSHKOSH, WI 54902-6186
(920) 223-7000
Mailing address
2830 E DIETZEN DR, APPLETON, WI 54915-6616
(920) 284-6513
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14118-33
WI
Other
Enumeration date
11/08/2023
Last updated
01/01/2025
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