Individual
TINA WALMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2202 EAST 2ND STREET, SUITE 377, SUPERIOR, WI 54880-3709
(715) 817-7990
Mailing address
11134 N STATE ROAD 77, HAYWARD, WI 54843-5325
(715) 817-7990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
136047-30
WI
363LF0000X
Family Nurse Practitioner
Primary
6077-33
WI
Other
Enumeration date
06/13/2014
Last updated
12/04/2017
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