Tammy Jean Kreuser, LPN
Individual provider Active NPI Licensed Practical Nurse · Pulaski, WI
NPI 1194010488 · NPPES record last updated Jun 14, 2011
Key facts
- NPI
- 1194010488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 312468031 (WI)
- Practice address
- 1167 County Road C
Pulaski, WI 54162-9666 - Phone
- (920) 639-0095
- NPI assigned
- Jun 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 312468031 | WI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 312468031 | WI | Yes |
Addresses
Primary practice location
1167 County Road C
Pulaski, WI 54162-9666
Mailing address
1167 County Road C
Pulaski, WI 54162-9666
Phone (920) 639-0095
Other providers in Pulaski, WI
- Dean Lawrence Harpt
- Lauren K Holloman
- Amanda J Jacobs
- Grace Lorraine Kalk
- Heidi Koeshall
- Dale John Krumrai
- Lynn Marie Lambert
- Diana Logan
- Kirsten Holly Macgrath
- Manitowoc Pharmacies Inc
All providers in Pulaski, WI · Licensed Practical Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.