Individual
TINA K NEUENDANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
3301 CRANBERRY BLVD, WESTON, WI 54476
(715) 393-3900
(715) 393-3927
Mailing address
3301 CRANBERRY BLVD, WESTON, WI 54476-5216
(715) 393-3900
(715) 393-3927
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1780
WI
363LF0000X
Family Nurse Practitioner
Primary
1780
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36042400
—
WI
Enumeration date
09/14/2006
Last updated
05/23/2018
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