SHANICE S KUKUCK

WEST BEND, WI
NPI1063151330
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: IL  209032039)
Additional Taxonomies363LF0000X Nurse Practitioner Family
(Licence: IL  209032039)
363LF0000X Nurse Practitioner Family
(Licence: WI  11997-33)
Enumeration Date2022-06-03
Last Update Date2025-06-10
Business Address
DR. SHANICE S KUKUCK APNP
1700 PARADISE DR
WEST BEND, WI 53095-9795
Phone number: 262-334-3451
Mailing Address
DR. SHANICE S KUKUCK APNP
1700 W PARADISE DR
WEST BEND, WI 53095-9795
Phone number: 262-334-3451