Individual
SHARON THORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(800) 968-6866
Mailing address
PO BOX 88215, MILWAUKEE, WI 53288-0001
(800) 968-6866
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1678033
WI
363LF0000X
Family Nurse Practitioner
Primary
1678033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43941500
—
WI
Enumeration date
07/26/2005
Last updated
04/20/2008
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