Individual provider · Type 1 NPI

Tiffany Marie Boelk, APNP

Nurse Practitioner · Fond Du Lac, WI

NPI number 1700459690 Active

Practice location

420 E Division St
Fond Du Lac, WI 54935-4560

Call (920) 923-7400 Map

Mailing address

N3087 Hickory Rd
Byron, WI 53006-1126

Other practice locations

  • 835 Parkside St, Ripon, WI 54971-8505 · (920) 745-3520
  • 145 N Main St, Fond Du Lac, WI 54935-3423 · (920) 926-8492

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X10905-33 (WI)
Nurse Practitioner Primary 363L00000X10905-33 (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 1700459690

Tiffany Marie Boelk, APNP's National Provider Identifier is 1700459690, issued on Jul 20, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fond Du Lac, WI. The record was last updated on Oct 12, 2021.