Individual provider · Type 1 NPI

Pamela J. Thul-Immler, NURSE PRACTITIONER

Gerontology Nurse Practitioner · Woodruff, WI

NPI number 1730381591 Active

Practice location

9060 Madeline Lake Rd
Woodruff, WI 54568-9651

Call (715) 358-5066 Map

Fax (715) 358-5480

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X1370-033 (WI)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Gerontology Nurse Practitioner: Definition to come...

About NPI 1730381591

Pamela J. Thul-Immler, NURSE PRACTITIONER's National Provider Identifier is 1730381591, issued on Jun 4, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Woodruff, WI. The record was last updated on Sep 11, 2025.