Healthcare Provider Details

I. General information

NPI: 1659825701
Provider Name (Legal Business Name): ANGELA M KOCHANIK-PIRELLI APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANGELA KOCHANIK

II. Dates (important events)

Enumeration Date: 08/06/2016
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9120 W LOOMIS RD
FRANKLIN WI
53132-9083
US

IV. Provider business mailing address

PO BOX 735044
CHICAGO IL
60673-5044
US

V. Phone/Fax

Practice location:
  • Phone: 414-858-1740
  • Fax: 414-858-1741
Mailing address:
  • Phone: 800-326-2250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number7163
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: