Provider Demographics
NPI:1962382572
Name:NEKLEWICZ, ANNA M
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:M
Last Name:NEKLEWICZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:A
Other - Last Name:CHEREK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:799 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:MOSINEE
Mailing Address - State:WI
Mailing Address - Zip Code:54455-8281
Mailing Address - Country:US
Mailing Address - Phone:715-393-7879
Mailing Address - Fax:715-693-6768
Practice Address - Street 1:212976 COUNTY ROAD B
Practice Address - Street 2:
Practice Address - City:MOSINEE
Practice Address - State:WI
Practice Address - Zip Code:54455-5604
Practice Address - Country:US
Practice Address - Phone:715-393-7879
Practice Address - Fax:715-693-6768
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI112405-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse