Provider Demographics
NPI:1437114774
Name:PHILIPPS, ALLISON A (APNP)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:A
Last Name:PHILIPPS
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15430 W CAPITOL DR
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-2626
Mailing Address - Country:US
Mailing Address - Phone:608-251-4156
Mailing Address - Fax:262-735-0723
Practice Address - Street 1:15430 W CAPITOL DR
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-2626
Practice Address - Country:US
Practice Address - Phone:608-251-4156
Practice Address - Fax:262-735-0723
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2014363L00000X
WI2573-033363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41192900Medicaid
WIP00309668Medicare PIN
WI008257155Medicare PIN
WI41192900Medicaid