Provider Demographics
NPI:1861116980
Name:SCHNEPF, ELIZABETH ANN (APNP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:SCHNEPF
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ANN
Other - Last Name:HETTRICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APNP
Mailing Address - Street 1:PO BOX 22487
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54305-2487
Mailing Address - Country:US
Mailing Address - Phone:920-445-7210
Mailing Address - Fax:920-445-7289
Practice Address - Street 1:3415 CUSTER ST STE D
Practice Address - Street 2:
Practice Address - City:MANITOWOC
Practice Address - State:WI
Practice Address - Zip Code:54220-4328
Practice Address - Country:US
Practice Address - Phone:920-652-9310
Practice Address - Fax:920-652-9316
Is Sole Proprietor?:No
Enumeration Date:2022-10-03
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12174-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
F07220343OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS
F07220343OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS