Individual
TINA BETTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
425 2ND ST, MANAWA, WI 54949-9279
(920) 596-3435
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 454-8208
(920) 596-3444
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43817400
—
WI
Enumeration date
07/20/2006
Last updated
06/01/2021
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