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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TINA L VIDETIC, APRN, BC

Active

TINA L VIDETIC, APRN, BC is a Nurse Practitioner healthcare provider located in SHEBOYGAN, Wisconsin. NPI 1396930707 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · SHEBOYGAN, WI

Registration Details

NPI Number
1396930707
Provider Type
Individual
Gender
Female
NPI Issued
Sep 9, 2007 (18.887728426601 yrs)
Last Updated
Jan 22, 2026
Licenses
3260 (WI)
3260 (WI)

Practice Information

Address
1226 N 8TH ST
SHEBOYGAN, WI, 530813404
Browse WI providers · Browse ZIP 53081
Phone
9206787705
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Family Nurse Practitioner

Other Nurse Practitioner Providers in SHEBOYGAN, WI

Name Credential NPI
MRS. NANCY A MCLAUGHLIN APNP 1972584324
MS. THERESA BROSNAN SCHULER NP 1780635151
MS. JULIE A PARVE NP 1174575021
CYNTHIA MILDRED FISHER NP 1457390510
KRISTEN A BRAZZALE APNP 1851321483
RHONDA R ADLER APNP 1295756716
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.