Individual provider · Type 1 NPI
Samantha L. Thiede, APNP
Nurse Practitioner · Waupun, WI
Practice location
608 W Brown St
Waupun, WI 53963-1788
Other practice locations
- 1818 N Meade St, Appleton, WI 54911-3454 · (920) 735-7645
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 10152 (WI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1306454053
Samantha L. Thiede, APNP's National Provider Identifier is 1306454053, issued on Jul 20, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Waupun, WI. The record was last updated on May 4, 2022.