Provider Demographics
NPI:1649018805
Name:DOBYNS-SCHUETTER, ENLEIGH (FNP-BC)
Entity type:Individual
Prefix:
First Name:ENLEIGH
Middle Name:
Last Name:DOBYNS-SCHUETTER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:977 HORSESHOE CT
Mailing Address - Street 2:
Mailing Address - City:BELGIUM
Mailing Address - State:WI
Mailing Address - Zip Code:53004-9455
Mailing Address - Country:US
Mailing Address - Phone:920-251-3392
Mailing Address - Fax:
Practice Address - Street 1:977 HORSESHOE CT
Practice Address - Street 2:
Practice Address - City:BELGIUM
Practice Address - State:WI
Practice Address - Zip Code:53004-9455
Practice Address - Country:US
Practice Address - Phone:920-251-3392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1563033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily