Ermias Addisu Asale

Individual provider Active NPI Registered Nurse · Fitchburg, WI

NPI 1194648964 · NPPES record last updated Jul 30, 2026

Key facts

NPI
1194648964
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
1128699 (WI)
Practice address
4888 Brassica Rd Apt 200
Fitchburg, WI 53711-8800
Phone
(571) 647-5210
NPI assigned
Jul 30, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1128699 WI Yes

Addresses

Primary practice location

4888 Brassica Rd Apt 200
Fitchburg, WI 53711-8800

Mailing address

4888 Brassica Rd Apt 200
Fitchburg, WI 53711-8800
Phone (571) 647-5210

Other providers in Fitchburg, WI

All providers in Fitchburg, WI · Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.