Individual
ANN ELIZABETH DETTLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
250 W 6TH AVE, OSHKOSH, WI 54902-5910
(920) 237-5000
(920) 237-5011
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4360-033
WI
363L00000X
Nurse Practitioner
4360-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100014463
—
WI
05
—
1215236278
—
WI
Enumeration date
03/16/2011
Last updated
04/29/2026
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