Individual
MS. SHARI K LIESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2575 E EVERGREEN DRIVE, APPLETON, WI 54913-8904
(920) 969-5353
(414) 337-7201
Mailing address
2575 E EVERGREEN DRIVE, APPLETON, WI 54913-8904
(920) 969-5353
(414) 337-7201
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2684
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922059773
—
WI
05
—
41278900
—
WI
Enumeration date
05/15/2006
Last updated
07/12/2023
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