Provider Demographics
NPI:1841914306
Name:KREPLINE, ASHLEY ROSE (CNM, APNP)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:ROSE
Last Name:KREPLINE
Suffix:
Gender:F
Credentials:CNM, APNP
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:ROSE
Other - Last Name:ZITZELSBERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM,APNP
Mailing Address - Street 1:PO BOX 22487
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54305-2487
Mailing Address - Country:US
Mailing Address - Phone:920-445-7210
Mailing Address - Fax:920-445-7289
Practice Address - Street 1:720 S VAN BUREN ST STE 101
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54301-3534
Practice Address - Country:US
Practice Address - Phone:920-468-3444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI150005-32367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CNM07946OtherAMERICAN MIDWIFERY CERTIFICATION BOARD