Individual
PAMELA J THUL-IMMLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
9060 MADELINE LAKE RD, WOODRUFF, WI 54568-9651
(715) 358-5066
(715) 358-5480
Mailing address
9060 MADELINE LAKE RD, WOODRUFF, WI 54568-9651
(715) 358-5066
(715) 358-5480
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1370-033
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
439-188-00
—
WI
Enumeration date
06/04/2007
Last updated
09/11/2025
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