Nicole Shannon Thull SAC-IT

  • NPI 1669962825
According to our database, the NPI number for Nicole Shannon Thull SAC-IT is 1669962825 and activated since 5 years ago. Nicole Shannon Thull SAC-IT is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 1421 Fond Du Lac Ave, Kewaskum, WI 53040. You can also contact Nicole Shannon Thull SAC-IT via telephone number is (262) 626-4166. Provider NPI information was last updated on 05/14/2018.

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Overview of Nicole Shannon Thull SAC-IT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 05/14/2018
  • Last updated: 05/14/2018

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 17291-130
  • License State: WI

Provider Mailing Address

  • Address: 9349 Windy Acres Dr
    Kewaskum, WI 53040
  • Phone: 262-483-4870
  • Fax:

Provider Practice Location

  • Address: 1421 Fond Du Lac Ave
    Kewaskum, WI 53040
  • Phone: 262-626-4166
  • Fax: 262-626-8431

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 17291-130
  • License State: WI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Nicole Shannon Thull SAC-IT?
  • A: The npi number for Nicole Shannon Thull SAC-IT is 1669962825.
  • Q: What are Nicole Shannon Thull SAC-IT's specialties?
  • A: Nicole Shannon Thull SAC-IT's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Nicole Shannon Thull SAC-IT?
  • A: The medical license number for Nicole Shannon Thull SAC-IT is 17291-130 and issued in WI in USA.
  • Q: Where is Nicole Shannon Thull SAC-IT practice location?
  • A: Nicole Shannon Thull SAC-IT is practicing at 1421 Fond Du Lac Ave, Kewaskum, WI 53040.
  • Q: How to contact Nicole Shannon Thull SAC-IT?
  • A: You can contact Nicole Shannon Thull SAC-IT via 262-626-4166.
Medicare Specialty
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