Individual
ASHLEY ELIZABETH MIJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
311 N 3RD AVE, STURGEON BAY, WI 54235-2401
(920) 743-0255
(920) 743-6680
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10059-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F01201617
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
05/13/2020
Last updated
02/26/2024
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