Provider Demographics
NPI:1790139160
Name:GEHRKE, ASHLEY (APNP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:GEHRKE
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1702 DUBLIN TRL APT 347
Mailing Address - Street 2:
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-8821
Mailing Address - Country:US
Mailing Address - Phone:920-540-8726
Mailing Address - Fax:
Practice Address - Street 1:1702 DUBLIN TRL APT 347
Practice Address - Street 2:
Practice Address - City:NEENAH
Practice Address - State:WI
Practice Address - Zip Code:54956-8821
Practice Address - Country:US
Practice Address - Phone:920-540-8726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-21
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6935-33363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner