| Dr Shanice S Kukuck, APNP | |
|
1700 Paradise Dr, West Bend, WI 53095-9795 | |
| (262) 334-3451 | |
| Not Available |
| Full Name | Dr Shanice S Kukuck |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1700 Paradise Dr, West Bend, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063151330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11997-33 (Wisconsin) | Primary |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shanice S Kukuck, APNP 1700 W Paradise Dr, West Bend, WI 53095-9795 Ph: (262) 334-3451 | Dr Shanice S Kukuck, APNP 1700 Paradise Dr, West Bend, WI 53095-9795 Ph: (262) 334-3451 |
Alyssa Sekadlo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 E Washington St, West Bend, WI 53095 Phone: 262-338-2717 Fax: 262-338-9767 | |
Katelyn Steger, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 | |
Jennifer Nicole Thomson, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 | |
Monica Katherine Binder, DNP, APNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 | |
Casey L Nolan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3200 Pleasant Valley Rd, Internal Medicine, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301 | |
Stacy L Boden, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-334-3451 Fax: 262-306-2964 |