Provider Demographics
NPI:1457866063
Name:WILKINS, ALEXA LEE (PA)
Entity Type:Individual
Prefix:MS
First Name:ALEXA
Middle Name:LEE
Last Name:WILKINS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:ALEXA
Other - Middle Name:LEE
Other - Last Name:SCHILLINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:PO BOX 22487
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54305-2487
Mailing Address - Country:US
Mailing Address - Phone:920-445-7222
Mailing Address - Fax:920-445-7238
Practice Address - Street 1:1970 S RIDGE RD
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54304-4125
Practice Address - Country:US
Practice Address - Phone:920-430-4888
Practice Address - Fax:920-430-4889
Is Sole Proprietor?:No
Enumeration Date:2017-12-05
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
1149492OtherNATIONAL COMMISSION ON CERTIFIED PHYSICIANS ASSISTANTS