Individual
SHELLEY FLASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
818 FOREST LN, WATERFORD, WI 53185-4585
(262) 148-1995
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7547
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100065191
—
WI
01
—
7547-33
WI LICENSE - APNP
WI
Enumeration date
03/06/2017
Last updated
04/20/2026
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