Individual
TIERNEY FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
W6981 PARKVIEW DR, GREENVILLE, WI 54942-8034
(920) 882-2400
Mailing address
W6981 PARKVIEW DR, GREENVILLE, WI 54942-8034
(920) 882-2400
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
15399-33
WI
363L00000X
Nurse Practitioner
Primary
15399-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100293055
—
WI
Enumeration date
09/06/2024
Last updated
05/07/2026
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