Tetzlaff, Karen

Tetzlaff, Karen is an individual health care provider with primary practice located at 2357 W Mason St , Green Bay WI 54303-4708. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Tetzlaff, Karen can be contacted via phone (920) 337-6740.

Contact Information

Primary practice address
2357 W Mason St Green Bay WI 54303-4708
Phone: (920) 337-6740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 34761-31 Wisconsin

Profile Details

NPI number 1528714193
LBN Legal business name Tetzlaff, Karen
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2022
Last updated Feb 23rd, 2022 - about 4 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 1528714193 NPPES
Wisconsin MEDICAID 42030700

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