Healthcare Provider Details

I. General information

NPI: 1477401156
Provider Name (Legal Business Name): ANALISE WITKOWSKI APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 E ENTERPRISE AVE STE 205
APPLETON WI
54913-8559
US

IV. Provider business mailing address

2801 E ENTERPRISE AVE STE 205
APPLETON WI
54913-8559
US

V. Phone/Fax

Practice location:
  • Phone: 920-968-9311
  • Fax:
Mailing address:
  • Phone: 920-968-9311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number18176-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: