Basic Information
| Provider Information | |||||||||
| NPI: | 1750746772 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STRELKE | ||||||||
| FirstName: | CHANTE | ||||||||
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| Credential: | APNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 240 MAPLE AVE | ||||||||
| Address2: | PROHEALTH CARE MEDICAL ASSOCIATES | ||||||||
| City: | WAUKESHA | ||||||||
| State: | WI | ||||||||
| PostalCode: | 531498475 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2629281900 | ||||||||
| FaxNumber: | 2623631949 | ||||||||
| Practice Location | |||||||||
| Address1: | 240 MAPLE AVE | ||||||||
| Address2: | PROHEALTH CARE MEDICAL ASSOCIATES | ||||||||
| City: | WAUKESHA | ||||||||
| State: | WI | ||||||||
| PostalCode: | 531498475 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2629281900 | ||||||||
| FaxNumber: | 2623631949 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/17/2015 | ||||||||
| LastUpdateDate: | 12/17/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 6748 | WI | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.