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Tina L Videtic, APRN,BC
Nurse Practitioner in Sheboygan, Wisconsin
NPI 1396930707

Tina L Videtic is a Nurse Practitioner based in Chicago, WI. Tina L Videtic practices in Sheboygan, WI and has the professional credentials of APRN,BC. The NPI Number for Tina L Videtic is 1396930707 and holds a License No. 3260 (Wisconsin).

The current practice location address for Tina L Videtic is 2414 Kohler Memorial Dr, Sheboygan, WI and can be reached out via phone at 920-457-4461.

Location: 2414 Kohler Memorial Dr, Sheboygan, WI, 60673-5044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396930707
Provider Name
Tina L Videtic
Credential
APRN,BC
Provider Entity Type
Individual
Gender
Female
Address
2414 Kohler Memorial Dr, Sheboygan, WI, 60673-5044
Phone Number
920-457-4461
Fax Number
Provider Enumeration Date
09/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100013142 05 WI
institution
Provider Business Practice Location Address Details
Address
2414 Kohler Memorial Dr
City
Sheboygan
State
Wisconsin
Zip
53081-3129
Phone Number
920-457-4461
Fax Number
person
Provider Business Mailing Address Details
Address
2414 Kohler Memorial Dr
City
Sheboygan
State
Wisconsin
Zip
53081-3129
Phone Number
920-457-4461
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
3260 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3260 (Wisconsin)
Definition
Definition to come...
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