Healthcare Provider Details

I. General information

NPI: 1306759717
Provider Name (Legal Business Name): AMBREE SCHLOSSER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2522 GOLF RD STE 2
EAU CLAIRE WI
54701-6033
US

IV. Provider business mailing address

N6189 772ND ST
ELK MOUND WI
54739-6400
US

V. Phone/Fax

Practice location:
  • Phone: 715-279-2298
  • Fax:
Mailing address:
  • Phone: 715-279-2298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number902005
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: