LISA MARIE TETZLAFF FNP-C NPI 1174854400

NPI Information

NPI: 1174854400
Provider Name: LISA MARIE TETZLAFF, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
700 NEWBERRY AVE
NEWBERRY, MI
ZIP 49868
Phone: (906) 293-3226
Get Directions

Lisa Marie Tetzlaff, FNP-C is a family nurse practitioner in Newberry, MI with 12 years of experience. Lisa Marie Tetzlaff, FNP-C NPI is 1174854400. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

700 NEWBERRY AVE
NEWBERRY, MI
ZIP 49868-503
Phone: (906) 293-3226
Fax: (877) 743-0490

The NPI 1174854400 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/27/2010 and was last updated on 7/16/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WS0200X	Registered Nurse	School	L1-0037352	DELAWARE	No
2	363LF0000X	Nurse Practitioner	Family	4704267555	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »