Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theresa Carlson

Individual provider Family Nurse Practitioner · NPI 1558068114

Theresa Carlson is a Family Nurse Practitioner in Manitowoc, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2300 Western Ave
Manitowoc, WI 54220-3712
Phone: (920) 320-2011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Registered Nurse (primary) Taxonomy 163WE0003X · Licence 239835-30 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 000000 (WI)

Record details

NPI number1558068114
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 13, 2023
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 13, 2023

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