Provider Demographics
NPI:1588251342
Name:LENZNER, KAYLA ANN (APNP)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:ANN
Last Name:LENZNER
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:KAYLA
Other - Middle Name:ANN
Other - Last Name:STELZNERPETERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 19070
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54307-9070
Mailing Address - Country:US
Mailing Address - Phone:920-496-4700
Mailing Address - Fax:
Practice Address - Street 1:1825 N BLUEMOUND DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54914-1643
Practice Address - Country:US
Practice Address - Phone:833-625-0628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-28
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI199958163W00000X
WI10757-33363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse