Individual provider · Type 1 NPI
Shanice S. Kukuck, APNP
Pediatric Nurse Practitioner · West Bend, WI
NPI number
1063151330
Active
Practice location
1700 Paradise Dr
West Bend, WI 53095-9795
Mailing address
1700 W Paradise Dr
West Bend, WI 53095-9795
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209032039 (IL) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 209032039 (IL) |
| Family Nurse Practitioner | 363LF0000X | 11997-33 (WI) |
Pediatric Nurse Practitioner: Definition to come...
10 other providers at this address
- Froedtert & Medical College of Wi Community PhysiciansNon-Pharmacy Dispensing Site West Bend, WI NPI 1720604044
- Abbey Ferree, PA-CSurgical Physician Assistant West Bend, WI NPI 1821721044
- Alissa Ashley Rue, NPNurse Practitioner West Bend, WI NPI 1174297006
- Allison Audrey Leightner, APNPFamily Nurse Practitioner West Bend, WI NPI 1649060328
- Ashley Linsmeier, APNPFamily Nurse Practitioner West Bend, WI NPI 1477945657
- Baby Snigdha, MDInternal Medicine Physician West Bend, WI NPI 1952041063
- Callie Hicks, RDRegistered Dietitian West Bend, WI NPI 1376941641
- Jessica Dzemske, NPFamily Nurse Practitioner West Bend, WI NPI 1558222737
- Nathan Ferger, DPTPhysical Therapist West Bend, WI NPI 1750010104
- Sean Samuel Rooney, DOFamily Medicine Physician West Bend, WI NPI 1548624885
Other pediatric nurse practitioner providers in West Bend
- Stacy L. Boden, NPPediatric Nurse Practitioner West Bend, WI NPI 1124250063
- Samantha Starkey, DNP, APNP, CPNP-PCPediatric Nurse Practitioner West Bend, WI NPI 1316770266
- Julie Bolha, PPCNP-BCPediatric Nurse Practitioner West Bend, WI NPI 1386979193
- Rebecca KarlsPediatric Nurse Practitioner West Bend, WI NPI 1720755036
- Sandra Schaefer, APNPPediatric Nurse Practitioner West Bend, WI NPI 1750606737
About NPI 1063151330
Shanice S. Kukuck, APNP's National Provider Identifier is 1063151330, issued on Jun 3, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in West Bend, WI. The record was last updated on Jun 10, 2025.