Individual provider · Type 1 NPI

Ashley Micksch, APNP

Nurse Practitioner · Manitowoc, WI

NPI number 1790160729 Active

Practice location

1900 Woodland Dr
Manitowoc, WI 54220-9662

Fax (920) 320-5128

Mailing address

PO Box 19070
Green Bay, WI 54307-9070

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X6487 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1790160729

Ashley Micksch, APNP's National Provider Identifier is 1790160729, issued on Jul 20, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Manitowoc, WI. The record was last updated on Sep 13, 2016.