Healthcare Provider Details

I. General information

NPI: 1386562387
Provider Name (Legal Business Name): ASHLEY TOELLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY HOCHSPRUNG

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1920 LIBAL ST # 3EET
GREEN BAY WI
54301-2471
US

IV. Provider business mailing address

1294 LEAR LN APT 14
DE PERE WI
54115-7266
US

V. Phone/Fax

Practice location:
  • Phone: 920-436-8693
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number18658-33
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1865833
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: