Individual
MS. NANCY S ASENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
146 E GENEVA SQ, LAKE GENEVA, WI 53147
(262) 249-5000
(262) 249-7142
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
134897-030
WI
363L00000X
Nurse Practitioner
1853-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43938100
—
WI
Enumeration date
08/03/2006
Last updated
05/10/2022
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