Thiede, Samantha L

Thiede, Samantha L is an individual health care provider with primary practice located at 608 W Brown St , Waupun WI 53963-1788. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Thiede, Samantha L can be contacted via phone (920) 324-6801.

Contact Information

Primary practice address
608 W Brown St Waupun WI 53963-1788
Phone: (920) 324-6801
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 10152 Wisconsin

Profile Details

NPI number 1306454053
LBN Legal business name Thiede, Samantha L
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2020
Last updated May 4th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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