Neuendank, Tina K

Neuendank, Tina K is an individual health care provider with primary practice located at 3301 Cranberry Blvd , Weston WI 54476. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Neuendank, Tina K can be contacted via phone (715) 393-3900.

Contact Information

Primary practice address
3301 Cranberry Blvd Weston WI 54476
Phone: (715) 393-3900
Fax: (715) 393-3927
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1780 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1780 Wisconsin

Profile Details

NPI number 1740385707
LBN Legal business name Neuendank, Tina K
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated May 23rd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740385707 NPPES
Wisconsin MEDICAID 36042400

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