Thedacare, INC

NPI #1063569002 in Appleton, Wisconsin

Provider Information

NPI Number: 1063569002
Entity Type: Organization
Organization Name: Thedacare, INC
Subpart: Yes (part of a larger organization)
Parent Organization: THEDACARE, INC
Primary Specialty: Nurse Practitioner - Occupational Health
Enumeration Date: Jan 4, 2007
Last Updated: Jan 2, 2024

Practice Location

Address: 2809 N. PARK DRIVE LANE
City: Appleton
State: Wisconsin
ZIP Code: 54911
Phone: (920) 380-4999

Authorized Official

Name: WILLIAM FLETT
Title: CFO
Phone: (920) 454-4013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Nurse Practitioner - Occupational Health — Occupational Health	363LX0106X	Primary

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