Deborah Kay Tietjen
Midwife Nurse Practitioner - Family Medicine
3353 N Mlk Dr
Milwaukee
, Wisconsin 53212-1455
Deborah Kay Tietjen
Midwife Nurse Practitioner - Family Medicine
3353 N Mlk Dr
Milwaukee
, Wisconsin 53212-1455
(414) 372-1000
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About
Features
Specialties
- Midwife
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Deborah Kay Tietjen
- 3353 N Mlk Dr
- Milwaukee, WI
- Zip : 53212-1455
- Phone : (414) 372-1000
Second Address
- Deborah Kay Tietjen
- 3353 N Mlk Dr
- Milwaukee, WI
- Zip : 53212-1455
- Phone : (414) 372-1000
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What type of doctor is Deborah Kay Tietjen
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Is Deborah Kay Tietjen a sole practitioner?
Is Deborah Kay Tietjen accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 176B00000X | Midwife | 74685032 | WI |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 470 | WI |
National Provider Identifier
| NPI | 1124178454 |
|---|---|
| Provider Name | Deborah Kay Tietjen |
| First Address | Milwaukee, WI 53212-1455 |
| Second Address | Milwaukee, WI 53212-1455 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2007 |
| Last Update Date | 04/12/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| S92653 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.