MEDICARE: MRS. ASHLEY ROSE KREPLINE CNM, 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	367A00000X	Advanced Practice Midwife	150005-32	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CNM07946	OTHER		AMERICAN MIDWIFERY CERTIFICATION BOARD

General Provider Information

NPI Number	:	1841914306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASHLEY ROSE KREPLINE CNM, APNP

Provider Business Mailing Address
First Line	:	PO BOX 22487
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54305-2487
Country	:	US
Telephone Number	:	920-445-7210
Fax Number	:	920-445-7289

Provider Business Practice Location Address
First Line	:	720 S VAN BUREN ST STE 101
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54301-3534
Country	:	US
Telephone Number	:	920-468-3444
Fax Number	:

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

Provider Enumeration Date	:	09/28/2022
Last Update Date	:	09/28/2022

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