Individual provider · Type 1 NPI

Tina L. Videtic, APRN, BC

Nurse Practitioner · Sheboygan, WI

NPI number 1396930707 Active

Practice location

1226 N 8th St
Sheboygan, WI 53081-3404

Call (920) 678-7705 Map

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X3260 (WI)
Family Nurse Practitioner 363LF0000X3260 (WI)

Nurse Practitioner: (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 wit…

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About NPI 1396930707

Tina L. Videtic, APRN, BC's National Provider Identifier is 1396930707, issued on Sep 9, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sheboygan, WI. The record was last updated on Jan 22, 2026.