Individual
MS. LISA M SPANNBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2085 N CALHOUN ROAD, SECOND FLOOR, BROOKFIELD, WI 53005
(262) 827-9200
(262) 827-8641
Mailing address
PO BOX 1787, BROOKFIELD, WI 53008
(262) 827-9200
(262) 827-8641
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4083-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041.380918
RN LICENSE
IL
01
—
149451-30
RN LICENSE
WI
01
—
209.007912
APNP LICENSE
IL
01
—
4083-33
APNP LICENSE
WI
Enumeration date
11/24/2009
Last updated
08/10/2010
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