Thedacare, INC
Nurse Practitioner, Occupational Health in Appleton, WI. Organization (NPI-2).
NPI number1063569002
StatusActive
Last updated in NPPESOct 28, 2026
Details
- NPI
- 1063569002
- Entity type
- Organization (NPI-2)
- Legal business name
- Thedacare, INC
- Organization subpart
- Yes
- Enumeration date
- Jan 4, 2007
- Certification date
- Oct 28, 2026
- Last updated
- Oct 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LX0106X | Nurse Practitioner, Occupational Health | – | – | Yes |
| 208D00000X | General Practice | – | – |
Other names
- Thedacare At Work (Doing Business As)
Practice location
3925 N Gateway DrAppleton, WI 54913-7863
Phone 920-380-4999 · Fax 920-380-4961
Mailing address
3925 N Gateway DrAppleton, WI 54913-7863
Phone 920-380-4999 · Fax 920-380-4961
Authorized official
William Flett
Cfo
9204544013
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