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NPI Code Detail

MEDICARE: ASHLEY NORDLUND

MEDICARE: ASHLEY NORDLUND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist14335041WI

General Provider Information

NPI Number : 1114873817
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY NORDLUND
Provider Business Mailing Address
First Line : 1700 CHICAGO ST
Second Line :
City : DE PERE
State : WI
Zip : 54115-3418
Country : US
Telephone Number : 920-944-7043
Fax Number :
Provider Business Practice Location Address
First Line : 1700 CHICAGO ST
Second Line :
City : DE PERE
State : WI
Zip : 54115-3418
Country : US
Telephone Number : 920-944-7043
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2026
Last Update Date : 03/18/2026

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Directions to “ ASHLEY NORDLUND ” Practice Location

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