GLADYS R TIENOR (NPI# 1760760045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760760045 |
Entity Type | Individual |
Full Name | GLADYS R TIENOR |
Credential | RN |
Practice Address |
3415 Custer St Manitowoc WI 54220-4356 |
Practice Telephone | 9206528721 |
Mailing Telephone | 9206528721 |
Enumeration Date | 2011-08-03 |
Last Update Date | 2011-08-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
116813-30 | WI | Nursing Service Providers |
Street Address |
3415 CUSTER ST |
City | MANITOWOC |
State | WI |
Zip Code | 54220-4356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740265214 | Tammi S Gags | Physician Assistant | 3415 Custer St, Manitowoc, WI 54220-4324 | 2005-12-07 |
1841834678 | Stephen Robert Seifert | Dietitian, Registered | 3415 Custer St, Manitowoc, WI 54220-4324 | 2019-11-05 |
1396006821 | Erin M Zimbal | Physical Therapist | 3415 Custer St, Suite D, Manitowoc, WI 54220-4324 | 2012-05-31 |
1164788451 | Trish Luann Gordon | Case Manager/Care Coordinator | 3415 Custer St, Suite C, Manitowoc, WI 54220-4356 | 2012-04-11 |
1073879367 | Sighle Mleziva | Registered Nurse | 3415 Custer St, Suite C, Manitowoc, WI 54220-4356 | 2012-04-11 |
1689969008 | Amber Lee Grall | Case Manager/Care Coordinator | 3415 Custer St, Manitowoc, WI 54220-4356 | 2011-06-14 |
1942506928 | Rachel Lynn Schroeder | Case Manager/Care Coordinator | 3415 Custer St, Manitowoc, WI 54220-4356 | 2011-02-08 |
1841516804 | Kim Hynek | Registered Nurse | 3415 Custer St, Suite C, Manitowoc, WI 54220-4356 | 2010-04-15 |
1568788719 | Dionne M Centner | Case Manager/Care Coordinator | 3415 Custer St, Suite C, Manitowoc, WI 54220-4356 | 2010-04-13 |
1447576608 | Roxanne D Taylor | Registered Nurse | 3415 Custer St, Suite 2, Manitowoc, WI 54220-4356 | 2010-04-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235614843 | Katherine Borchardt | Registered Nurse | 3520 Foxfire Ct, Manitowoc, WI 54220 | 2018-09-28 |
1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
1831593821 | Brittany Camille Schultz | Acupuncturist | 2510 Washington Street, Manitowoc, WI 54220 | 2014-10-20 |
1710311261 | Brian E Weitz | Physical Therapy Assistant | 960 S. Rapids Rd., Manitowoc, WI 54220 | 2013-09-01 |
1134499080 | Total Renal Care Inc | Clinic/Center | 3303 Dewey St, Manitowoc, WI 54220 | 2012-01-10 |
1679858534 | Lisa M Noworatzky | Marriage & Family Therapist | 926 S. 8th St., Manitowoc, WI 54220 | 2011-10-11 |
1306177225 | Cynthia Fay Wenzel | Licensed Practical Nurse | 915 East Linden Avenue, Manitowoc, WI 54220 | 2010-01-15 |
1851550628 | Roundys Supermarkets Inc | Pharmacy | 3300 Calumet Ave, Manitowoc, WI 54220 | 2008-06-05 |
1851566079 | Jennifer C Mcwilliams | Registered Nurse | 1004 Nth 8th St., Manitowoc, WI 54220 | 2008-04-29 |
Find all providers in zip 54220 |
Taxonomy Code | 163WC0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699744870 | Leah Marie Kohlmann | Registered Nurse | 3415 Custer St Ste C, Manitowoc, WI 54220-4356 | 2006-03-17 |
1982960274 | Victoria Bubolz | Registered Nurse | 3415 Custer St Ste C, Manitowoc, WI 54220-4356 | 2012-04-11 |
1073879367 | Sighle Mleziva | Registered Nurse | 3415 Custer St, Suite C, Manitowoc, WI 54220-4356 | 2012-04-11 |
1801113006 | Julie Donahue | Registered Nurse | 3415 Custer St Ste C, Manitowoc, WI 54220-4356 | 2010-04-27 |
1881911253 | Rita Nigrelli | Registered Nurse | 3415 Custer St Ste C, Manitowoc, WI 54220-4356 | 2010-04-26 |
1295052769 | Jennifer Groehler | Registered Nurse | 3415 Custer St Ste C, Manitowoc, WI 54220-4356 | 2010-04-23 |
1013234731 | Bonnie Tonkin | Registered Nurse | 3415 Custer St Ste C, Manitowoc, WI 54220-4356 | 2010-04-21 |
1902122716 | Margaret Pfeffer | Registered Nurse | 3415 Custer St Ste C, Manitowoc, WI 54220-4356 | 2010-04-19 |
1427374297 | Judith Hanson | Registered Nurse | 3415 Custer St Ste C, Manitowoc, WI 54220-4356 | 2010-04-19 |
1821314758 | Linda Lefky | Registered Nurse | 3415 Custer St Ste C, Manitowoc, WI 54220-4356 | 2010-04-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.