Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEJ NTSHIAB THOR, PMHNP
Active Sole ProprietorDEJ NTSHIAB THOR, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in RACINE, Wisconsin. NPI 1255138061 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · RACINE, WI
Registration Details
- NPI Number
- 1255138061
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 27, 2025 (1.4244757134528 yrs)
- Last Updated
- Feb 27, 2025
- License
-
1656233 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3726 RUBY AVERACINE, WI, 534023076Browse WI providers · Browse ZIP 53402
- Phone
- 2626723612
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in RACINE, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. NANCY RUTH MACZKA | ADULT PMHNP | 1215139860 |
| DANIEL D MEDLOCK | APNP | 1639439433 |
| RAYE MARIE SERRATOS | APNP, PMHNP-BC | 1033459805 |
| RENEE MORIN | APNP | 1609388693 |
| MATTHEW ANTHONY HETTENBACH | PMHNP | 1003430729 |
| SAUNDRA MCGLASTON | APNP, PMHNP-BC | 1205528874 |
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.