=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184546269
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KRYSTLE ROSE DREES FNP-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/29/2026
-----------------------------------------------------
Last Update Date | 07/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 900 ALDERSON ST
-----------------------------------------------------
City | SCHOFIELD
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54476-1488
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 715-393-4092
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 227356 BOULDER RIDGE CIR
-----------------------------------------------------
City | RIB MOUNTAIN
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54401-6673
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 18799-33
-----------------------------------------------------
License Number State | WI
-----------------------------------------------------