MEDICARE: ASHLEY ELIZABETH FRAUNDORF MSN, BC-WHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	7672-33	WI

General Provider Information

NPI Number	:	1902334899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY ELIZABETH FRAUNDORF MSN, BC-WHNP

Provider Business Mailing Address
First Line	:	1415 N ASTOR ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-2844
Country	:	US
Telephone Number	:	414-339-8930
Fax Number	:

Provider Business Practice Location Address
First Line	:	1710 S 7TH ST STE 300
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53204-3538
Country	:	US
Telephone Number	:	414-645-8383
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2017
Last Update Date	:	05/23/2017

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