Search › Wisconsin › 363LP0200X
Shanice Kukuck, APNP
NPI 1063151330 · on the registry since 2022
Practice
- Address
- 1700 Paradise Dr
West Bend, WI 53095 - Phone
- (262) 334-3451
- Organisation at this address
- Froedtert & Medical College Of Wi Community Physicians
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Also registered as
- 363LF0000X
363LF0000X - Licence states on file
- IL, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin