Healthcare Provider Details

I. General information

NPI: 1588833149
Provider Name (Legal Business Name): ANGELA MARIE ARNTZ APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELA MARIE O'CONNELL APNP

II. Dates (important events)

Enumeration Date: 02/27/2008
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3220 W VLIET STREET
MILWAUKEE WI
53208
US

IV. Provider business mailing address

1515 PUMPKIN PATH
OCONOMOWOC WI
53066-5718
US

V. Phone/Fax

Practice location:
  • Phone: 414-321-4222
  • Fax:
Mailing address:
  • Phone: 262-468-6484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number6078-33
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number142527-030
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number6078-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: