person
Teresa J Wiersma, NP
Family Nurse Practitioner in Randolph, Wisconsin
NPI 1417931833

Teresa J Wiersma is a Family Nurse Practitioner based in Randolph, WI and is specialized in Family. Teresa J Wiersma practices in Randolph, WI and has the professional credentials of NP. The NPI Number for Teresa J Wiersma is 1417931833 and holds a License No. 125502 (Wisconsin).

The current practice location address for Teresa J Wiersma is 504 S High St, Randolph, WI and can be reached out via phone at 920-326-5060.

Location: 504 S High St, Randolph, WI, 53956-1499
person
Provider Profile Details
NPI Number
1417931833
Provider Name
Teresa J Wiersma
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
504 S High St, Randolph, WI, 53956-1499
Phone Number
920-326-5060
Fax Number
Provider Enumeration Date
11/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
390807236CW 01 WI UNITY
WI01S5 01 WI JOHN DEERE
41253300 05 WI
P00206887 01 WI RAILROAD MEDICARE
13789 01 WI DEAN
institution
Provider Business Practice Location Address Details
Address
504 S High St
City
State
Zip
53956-1499
Phone Number
920-326-5060
Fax Number
person
Provider Business Mailing Address Details
Address
504 S High St
City
State
Zip
53956-1499
Phone Number
920-326-5060
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
125502 (Wisconsin)
Definition
Definition to come...
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