MEDICARE: LAURA M FRITZ RN, APNP

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
1	363LA2200X	Adult Health Nurse Practitioner	823797	TX
2	363L00000X	Nurse Practitioner	4532-33	WI

General Provider Information

NPI Number	:	1427338243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA M FRITZ RN, APNP

Provider Business Mailing Address
First Line	:	36500 AURORA DR
Second Line	:
City	:	SUMMIT
State	:	WI
Zip	:	53066-4899
Country	:	US
Telephone Number	:	262-434-1000
Fax Number	:	262-434-5050

Provider Business Practice Location Address
First Line	:	1225 REMMEL DR
Second Line	:
City	:	JOHNSON CREEK
State	:	WI
Zip	:	53094-8511
Country	:	US
Telephone Number	:	920-674-6255
Fax Number	:	920-674-5288

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2011
Last Update Date	:	12/01/2021

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