PAMELA J THUL-IMMLER (NPI# 1730381591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730381591 |
| Entity Type | Individual |
| Full Name | PAMELA J THUL-IMMLER |
| Credential | NURSE PRACTITIONER |
| Practice Address |
9060 Madeline Lake Rd Woodruff WI 54568-9651 |
| Practice Telephone | 7153585066 |
| Practice Fax Number | 7153585480 |
| Mailing Telephone | 7153585066 |
| Mailing Fax Number | 7153585480 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
1370-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 439-188-00 | 05 |
| Street Address |
9060 MADELINE LAKE RD |
| City | WOODRUFF |
| State | WI |
| Zip Code | 54568-9651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316393226 | Heidi Ann Pritzl | Social Worker | 240 Maple St., Woodruff, WI 54568 | 2016-05-10 |
| 1295098523 | Christine Liesen John J Pinzl Dds Sc | Dentist | 240 Oak Street, Woodruff, WI 54568 | 2012-06-21 |
| 1598072191 | Jodi L Metropulos | Dental Hygienist | 8815 Cty Rd J, Woodruff, WI 54568 | 2010-09-03 |
| 1033367438 | Robert M Borger | Pharmacist | 1143 West Highway 47, Post Office Box 1992, Woodruff, WI 54568 | 2008-08-28 |
| 1316135973 | William Chad Mcgrath | Counselor | 311 Elm Street, Woodruff, WI 54568 | 2007-10-09 |
| 1851583629 | Island Pharmacy Services, Inc. | Pharmacy | 1256 Old Highway 51 South, Arbor Vitae, WI 54568 | 2007-08-15 |
| 1881817161 | Achilles Foot and Ankle Clinic Sc | Podiatrist | 728 Elm Street, Woodruff, WI 54568 | 2007-04-11 |
| 1427187053 | Jennifer A Vojta | Specialist/Technologist | 1446 Hwy 47, Woodruff, WI 54568 | 2007-03-02 |
| 1336294669 | Kati L Havel | Chiropractor | 521 Hemlock St., Woodruff, WI 54568 | 2007-01-25 |
| 1275697773 | John J Pinzl | Dentist | 1105 4th Ave, Woodruff, WI 54568 | 2006-12-20 |
| Find all providers in zip 54568 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615998 | Kathleen Ann Turck | Nurse Practitioner | 523 W Wilson St, Palmyra, WI 53156-9780 | 2020-07-06 |
| 1417405515 | Christine Leanne Peterson Watts | Nurse Practitioner | 4726 W Jenna Ct, Franklin, WI 53132-7602 | 2016-09-17 |
| 1902257991 | Andrea Schlidt | Nurse Practitioner | W62n1028 Fairhaven Ct, Cedarburg, WI 53012-1288 | 2016-06-30 |
| 1518360619 | Sarah Kathleen Holthe | Nurse Practitioner | 804 Evergreen Dr, Holmen, WI 54636-9145 | 2014-10-02 |
| 1235375544 | Dixie Lee Olson | Nurse Practitioner | 401 Finvold St, Woodville, WI 54028-9719 | 2008-12-17 |
| 1417123092 | Dementia Consultations LLC | Nurse Practitioner | 265 North Park Street, Richland Center, WI 53581-2208 | 2008-05-05 |
| 1457540171 | Kelly Ann Felmer | Nurse Practitioner | 2638 Tulip Ln, Suite B, Green Bay, WI 54313-2800 | 2007-10-18 |
| 1376747261 | Christine Marie Dietrich | Nurse Practitioner | 303 W Upham St Ste 200, Marshfield, WI 54449-1483 | 2007-06-13 |
| 1356555742 | Laura L. Wagner | Nurse Practitioner | 2810 Crossroads Dr, Madison, WI 53718-7942 | 2007-05-09 |
| 1073726873 | Michael James Dodds | Nurse Practitioner | 2419 Morse St, Janesville, WI 53545-0221 | 2007-05-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.