Shanice Kukuck, APNP

Individual Active
NPI 1063151330
Pediatric Nurse Practitioner West Bend, WI

NPI 1063151330 belongs to Shanice Kukuck, APNP, a pediatric nurse practitioner with a practice location in West Bend, WI. The NPI was issued on June 3, 2022, and the record was last updated in NPPES on June 10, 2025. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X 209032039 (IL)
Family Nurse Practitioner 363LF0000X 209032039 (IL)
Family Nurse Practitioner 363LF0000X 11997-33 (WI)

Practice location

1700 Paradise Dr
West Bend, WI 53095-9795
Phone: (262) 334-3451

Local context

Active NPPES records list 16 providers with pediatric nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 6 of them within 10 miles.

The same primary taxonomy is listed by 406 in Wisconsin and 24,071 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Dr. Shanice S Kukuck
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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