Liesch, Shari K

Liesch, Shari K is an individual health care provider with primary practice located at 2575 E Evergreen Drive , Appleton WI 54913-8904. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Liesch, Shari K can be contacted via phone (920) 969-5353.

Contact Information

Primary practice address
2575 E Evergreen Drive Appleton WI 54913-8904
Phone: (920) 969-5353
Fax: (414) 337-7201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2684 Wisconsin

Profile Details

NPI number 1922059773
LBN Legal business name Liesch, Shari K
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jul 12th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922059773 NPPES
Wisconsin MEDICAID 1922059773
Wisconsin MEDICAID 41278900

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