Provider Demographics
NPI:1295436483
Name:STELTER, ASHLEY JEAN (MS, RN, PCNS-BC)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:JEAN
Last Name:STELTER
Suffix:
Gender:F
Credentials:MS, RN, PCNS-BC
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Other - Suffix:
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Mailing Address - Street 1:26615 DAY BREAK CT
Mailing Address - Street 2:
Mailing Address - City:WIND LAKE
Mailing Address - State:WI
Mailing Address - Zip Code:53185-2742
Mailing Address - Country:US
Mailing Address - Phone:414-526-3170
Mailing Address - Fax:
Practice Address - Street 1:8915 W CONNELL AVE
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-3067
Practice Address - Country:US
Practice Address - Phone:414-266-8503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI156877-30163W00000X
WI12081-33364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse