Provider Demographics
NPI:1669948790
Name:ELKINS, ASHLEY (CNM)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:ELKINS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:WIESMUELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5000 W CHAMBERS ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53210-1650
Mailing Address - Country:US
Mailing Address - Phone:414-447-2275
Mailing Address - Fax:414-874-4045
Practice Address - Street 1:5000 W CHAMBERS ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-1650
Practice Address - Country:US
Practice Address - Phone:414-447-2275
Practice Address - Fax:414-874-4045
Is Sole Proprietor?:No
Enumeration Date:2018-10-16
Last Update Date:2018-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI148964367A00000X
WI184683207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics