Individual provider · Type 1 NPI
Lisa Marie Tetzlaff, FNP-C
Family Nurse Practitioner · Newberry, MI
NPI number
1174854400
Active
Practice location
700 Newberry Ave
Newberry, MI 49868-1503
Fax (877) 743-0490
Mailing address
9789 W Baird St
Brimley, MI 49715-9291
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Registered Nurse | 163WS0200X | L1-0037352 (DE) |
| Family Nurse Practitioner Primary | 363LF0000X | 4704267555 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1174854400
Lisa Marie Tetzlaff, FNP-C's National Provider Identifier is 1174854400, issued on Jan 27, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Newberry, MI. The record was last updated on Jul 16, 2014.