Healthcare Provider Details

I. General information

NPI: 1568537082
Provider Name (Legal Business Name): MARLA J SCHULTA APNP APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARLA J FREUDEN APNP APN

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 S LAYTON BLVD
MILWAUKEE WI
53215
US

IV. Provider business mailing address

4701 W SUMAC PL
MILWAUKEE WI
53219
US

V. Phone/Fax

Practice location:
  • Phone: 414-385-6600
  • Fax: 414-385-6612
Mailing address:
  • Phone: 414-327-0915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number73860-030
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number1361-033
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: