Search › Wisconsin › 103TC0700X
Shanna Thomsen
NPI 1417438250 · on the registry since 2018
Practice
- Address
- N14w23777 Stone Ridge Dr Ste 135
Waukesha, WI 53188 - Phone
- (414) 279-9082
- Fax
- (414) 501-4399
- Organisation at this address
- Empyrean Ventures Inc
Empowerment Within Llc
Intentional Psychology Llc
Nuderma Med Spa And Wellness CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 24
Additional practice sites
- 909 E State Blvd, Fort Wayne, IN
- 6233 39th Ave, Kenosha, WI
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 101YM0800X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-24
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