person
Helene R Stacy, NP
Pediatric Nurse Practitioner in Milwaukee, Wisconsin
NPI 1093069619

Helene R Stacy is a Pediatric Nurse Practitioner based in Milwaukee, WI and is specialized in Pediatrics. Helene R Stacy practices in Milwaukee, WI and has the professional credentials of NP. The NPI Number for Helene R Stacy is 1093069619 and holds a License No. 209014748 (Wisconsin).

The current practice location address for Helene R Stacy is 9000 W Wisconsin Ave, Milwaukee, WI and can be reached out via phone at 414-955-4170 and via fax at 414-955-6543.

Location: 9000 W Wisconsin Ave, Milwaukee, WI, 53226-4874
person
Provider Profile Details
NPI Number
1093069619
Provider Name
Helene R Stacy
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
9000 W Wisconsin Ave, Milwaukee, WI, 53226-4874
Phone Number
414-955-4170
Fax Number
414-955-6543
Provider Enumeration Date
11/05/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1093069619 05 WI
institution
Provider Business Practice Location Address Details
Address
9000 W Wisconsin Ave
City
State
Zip
53226-4874
Phone Number
414-955-4170
Fax Number
414-955-6543
person
Provider Business Mailing Address Details
Address
9000 W Wisconsin Ave
City
State
Zip
53226-4874
Phone Number
414-955-4170
Fax Number
414-955-6543
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
209014748 (Illinois)
Definition
Definition to come...
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