Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHAWN THEBERGE, APRN, FNP-C, NR-P
Active Sole ProprietorMR. SHAWN THEBERGE, APRN, FNP-C, NR-P is a Family Nurse Practitioner healthcare provider located in WALES, Wisconsin. NPI 1205447455 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · WALES, WI
Registration Details
- NPI Number
- 1205447455
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2020 (5.9638572753084 yrs)
- Last Updated
- Aug 3, 2021
- Licenses
-
P8036707 (ME)RN72498 (ME)CNP201467 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 W SUMMIT AVEWALES, WI, 531839427Browse WI providers · Browse ZIP 53183
- Phone
- 2076507540
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Registered Nurse
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in WALES, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. SARAH L ELLIOT | MSN, FNP-C | 1679947006 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.