Healthcare Provider Details

I. General information

NPI: 1821300732
Provider Name (Legal Business Name): JANE SCHNURR PARTHUM R.N, APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2010
Last Update Date: 09/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10500 W LOOMIS RD STE 130
FRANKLIN WI
53132-8030
US

IV. Provider business mailing address

10500 W LOOMIS RD STE 130
FRANKLIN WI
53132-8030
US

V. Phone/Fax

Practice location:
  • Phone: 414-488-1111
  • Fax: 414-488-0700
Mailing address:
  • Phone: 414-488-1111
  • Fax: 414-488-0700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number66082-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: