Tina R Gwitt, is a
Licensed Practical Nurse based in Little Suamico, Wisconsin. Tina R Gwitt is licensed to practice in Wisconsin (license number 31129-031) and her current practice location is
5239 County Rd S, Little Suamico, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 606-8004.
NPI number for Tina R Gwitt is 1578742086 and her current mailing address is 5239 County Rd S, Little Suamico, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578742086.
Provider's Profile
Full Name | Tina R Gwitt |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 5239 County Rd S, Little Suamico, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578742086
- Provider Enumeration Date: 10/31/2007
- Last Update Date: 10/31/2007
Medical Identifiers
Medical identifiers for Tina R Gwitt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578742086 | NPI | - | NPPES |
35042900 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 31129-031 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tina R Gwitt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tina R Gwitt, 5239 County Rd S, Little Suamico, WI 54141-8804 Ph: (920) 606-8004 | Tina R Gwitt, 5239 County Rd S, Little Suamico, WI 54141-8804 Ph: (920) 606-8004 |
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