Provider Demographics
NPI:1316614878
Name:SPRINGSTROH, AUBRY LIN (RN)
Entity type:Individual
Prefix:MS
First Name:AUBRY
Middle Name:LIN
Last Name:SPRINGSTROH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N3873 FRENCH RD
Mailing Address - Street 2:
Mailing Address - City:FREEDOM
Mailing Address - State:WI
Mailing Address - Zip Code:54913-8933
Mailing Address - Country:US
Mailing Address - Phone:920-450-8039
Mailing Address - Fax:
Practice Address - Street 1:N3873 FRENCH RD
Practice Address - Street 2:
Practice Address - City:FREEDOM
Practice Address - State:WI
Practice Address - Zip Code:54913-8933
Practice Address - Country:US
Practice Address - Phone:920-450-8039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI262393-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse