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

Tiffany Lynn Mlodzik, APNP

Individual provider Family Nurse Practitioner · NPI 1629824479

Tiffany Lynn Mlodzik, APNP is a Nurse Practitioner in Fond Du Lac, Wisconsin. Qualified in 2023, 3 years ago. Practices with Agnesian Healthcare Inc, a 390-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2024

Practice location Address checks out

430 E Division St
Fond Du Lac, WI 54935-4560
Phone: (920) 923-7940
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 15276-33 (WI)

Record details

NPI number1629824479
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorYes
NPI enumeratedApril 24, 2024
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Agnesian Healthcare Inc — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fond Du Lac