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Staci Jo Radtke, APNP
Nurse Practitioner in New London, Wisconsin
NPI 1558662254

Staci Jo Radtke is a Nurse Practitioner based in Neenah, WI. Staci Jo Radtke practices in New London, WI and has the professional credentials of APNP. The NPI Number for Staci Jo Radtke is 1558662254 and holds a License No. 4264 (Wisconsin).

The current practice location address for Staci Jo Radtke is 1405 Mill St, New London, WI and can be reached out via phone at 920-531-2400 and via fax at 920-531-2466.

Location: 1405 Mill St, New London, WI, 54956-3070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558662254
Provider Name
Staci Jo Radtke
Credential
APNP
Provider Entity Type
Individual
Gender
Female
Address
1405 Mill St, New London, WI, 54956-3070
Phone Number
920-531-2400
Fax Number
920-531-2466
Provider Enumeration Date
11/11/2010
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
1405 Mill St
City
New London
State
Wisconsin
Zip
54961-2155
Phone Number
920-531-2400
Fax Number
920-531-2466
person
Provider Business Mailing Address Details
Address
1405 Mill St
City
New London
State
Wisconsin
Zip
54961-2155
Phone Number
920-531-2400
Fax Number
920-531-2466
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4264-33 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4264 (Wisconsin)
Definition
Definition to come...
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