Healthcare Provider Details

I. General information

NPI: 1225413347
Provider Name (Legal Business Name): ASHLEY N SCHUMACHER APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY N DEKEYSER APNP

II. Dates (important events)

Enumeration Date: 07/30/2015
Last Update Date: 05/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 E CAPITOL DR
APPLETON WI
54911-8735
US

IV. Provider business mailing address

PO BOX 22487
GREEN BAY WI
54305-2487
US

V. Phone/Fax

Practice location:
  • Phone: 920-364-3600
  • Fax: 920-364-3900
Mailing address:
  • Phone: 920-445-7222
  • Fax: 920-445-7229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number6481
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: