TEDDY THOR NPI 1831060060

NPI Information

  • NPI: 1831060060
  • Provider Name: TEDDY THOR
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 900 E EDGEWOOD DR
    APPLETON, WI
    ZIP 54913
  • Phone: (920) 651-5788

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NPI Details

Teddy Thor is a family nurse practitioner in Appleton, WI. Teddy Thor NPI is 1831060060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

900 E EDGEWOOD DR
APPLETON, WI
ZIP 54913-912
Phone: (920) 651-5788

The enumeration date for this NPI number is 9/12/2025 and was last updated on 9/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily17425-33WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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