Provider Demographics
NPI:1053409326
Name:SCHLUETER, STEPHANIE K (APRN, ANP)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:K
Last Name:SCHLUETER
Suffix:
Gender:F
Credentials:APRN, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 MINERAL POINT AVE
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53548-2940
Mailing Address - Country:US
Mailing Address - Phone:608-756-6588
Mailing Address - Fax:608-756-4737
Practice Address - Street 1:1000 MINERAL POINT AVE
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53548-2940
Practice Address - Country:US
Practice Address - Phone:608-756-6588
Practice Address - Fax:608-756-4737
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2959-33363LX0001X
WI115109-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1053409326Medicaid
WISCHLUSTEOtherMERCYCARE INSURANCE
WI36017700Medicaid
WI1053409326OtherBCBSWI
WI60416OtherDEAN HEALTH INSURANCE
WISCHLUSTEOtherMERCYCARE INSURANCE
WIK400351554-000054176Medicare PIN
WI041774150Medicare PIN