Healthcare Provider Details

I. General information

NPI: 1609755511
Provider Name (Legal Business Name): TORI SCHLAVENSKY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TORI HAUPT

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 AMERICAN AVE
WAUKESHA WI
53188-5031
US

IV. Provider business mailing address

3166 N 96TH ST
MILWAUKEE WI
53222-3402
US

V. Phone/Fax

Practice location:
  • Phone: 262-928-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number17345-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: