Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Nicole Renee Tieman, RPH

Individual provider Pharmacist · NPI 1750930723

Mrs. Nicole Renee Tieman, RPH is a Pharmacist in Wausau, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.

Licensed in
WI
In the registry since
2019
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

4300 Rib Mountain Dr
Wausau, WI 54401-6604
Phone: (715) 359-6877
Fax: (715) 359-0241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 12507-40 (WI)

Record details

NPI number1750930723
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorNo
NPI enumeratedSeptember 11, 2019
Last updated in NPPESSeptember 11, 2019

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