Healthcare Provider Details

I. General information

NPI: 1437424603
Provider Name (Legal Business Name): EMILIE JOANNE ASCHENBRENNER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2012
Last Update Date: 03/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N65W27505 MAPLE ST
SUSSEX WI
53089-3387
US

IV. Provider business mailing address

N65W27505 MAPLE ST
SUSSEX WI
53089-3387
US

V. Phone/Fax

Practice location:
  • Phone: 262-443-0131
  • Fax:
Mailing address:
  • Phone: 262-443-0131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number14945-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: