Healthcare Provider Details

I. General information

NPI: 1992015580
Provider Name (Legal Business Name): ASHLEY SEILER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2010
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8201 MISH KO SWEN DR
CRANDON WI
54520-8631
US

IV. Provider business mailing address

8201 MISH KO SWEN DR
CRANDON WI
54520-8631
US

V. Phone/Fax

Practice location:
  • Phone: 715-478-4332
  • Fax: 715-478-4493
Mailing address:
  • Phone: 715-478-4300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4208-33
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4208-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: