NPI 1124178454

Deborah Kay Tietjen, FNP

Practitioner Midwife Milwaukee, WI

Practice location

Address: 3353 N Mlk Dr, Milwaukee, WI 53212-1455
Phone: (414) 372-1000

Registered specialties (3)

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence 74685032 (WI)

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Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 74685 (WI)

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Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 470 (WI)

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Registry record

NPI: 1124178454
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jan 2007
Record last updated: 4 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.