OrganizationActive
Thedacare, Inc
NPI 1063569002 · Occupational Health Nurse Practitioner · Appleton, WI
Provider details
- NPI number
- 1063569002
- Entity type
- Organization
- Primary specialty
- Occupational Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Thedacare, Inc
- Organization subpart
- Yes
- Authorized official
- William Flett, Cfo(920) 454-4013
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- General Practice Physician208D00000X
Allopathic & Osteopathic Physicians
Practice location
2809 N. Park Drive Lane
Appleton, WI 54911
Phone: (920) 380-4999
Fax: (920) 380-4961
Approximate (ZIP-level) locationGet directions
Mailing address
2809 N. Park Drive Lane
Appleton, WI 54911
Other names (DBA / former)
- Doing business as
- Thedacare at Work
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2024-01-02
- Certified
- 2024-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.