Provider Demographics
NPI:1750496873
Name:EHLERS, JAMES L (APNP)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:L
Last Name:EHLERS
Suffix:
Gender:M
Credentials:APNP
Other - Prefix:
Other - First Name:JIM
Other - Middle Name:LEROY
Other - Last Name:EHLERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3301 W FOREST HOME AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53215-2843
Mailing Address - Country:US
Mailing Address - Phone:414-647-6326
Mailing Address - Fax:414-671-8860
Practice Address - Street 1:6901 W EDGERTON AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53220
Practice Address - Country:US
Practice Address - Phone:414-421-8400
Practice Address - Fax:414-421-9957
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI70917-030363L00000X
WI51-033363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner