Healthcare Provider Details

I. General information

NPI: 1366313033
Provider Name (Legal Business Name): LISA CLAIRE BIGELOW-DOWNING DNP, MSL, BSN, APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3520 30TH AVE
KENOSHA WI
53144-1619
US

IV. Provider business mailing address

3520 30TH AVE
KENOSHA WI
53144-1619
US

V. Phone/Fax

Practice location:
  • Phone: 262-687-7030
  • Fax: 262-564-2207
Mailing address:
  • Phone: 262-687-7030
  • Fax: 262-564-2207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17192-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: