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Mary Stample, APNP
Psychiatric/Mental Health Nurse Practitioner in Appleton, Wisconsin
NPI 1750096145

Mary Stample is a Psychiatric/Mental Health Nurse Practitioner based in Appleton, WI and is specialized in Psychiatric/Mental Health. Mary Stample practices in Appleton, WI and has the professional credentials of APNP. The NPI Number for Mary Stample is 1750096145 and holds a License No. 13509-33 (Wisconsin).

The current practice location address for Mary Stample is 2500 E Enterprise Ave Ste B, Appleton, WI and can be reached out via phone at 920-416-8577.

Location: 2500 E Enterprise Ave Ste B, Appleton, WI, 54913-8556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750096145
Provider Name
Mary Stample
Credential
APNP
Provider Entity Type
Individual
Gender
Female
Address
2500 E Enterprise Ave Ste B, Appleton, WI, 54913-8556
Phone Number
920-416-8577
Fax Number
Provider Enumeration Date
01/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2500 E Enterprise Ave Ste B
City
Appleton
State
Wisconsin
Zip
54913-8556
Phone Number
920-416-8577
Fax Number
person
Provider Business Mailing Address Details
Address
2500 E Enterprise Ave Ste B
City
Appleton
State
Wisconsin
Zip
54913-8556
Phone Number
920-416-8577
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
13509-33 (Wisconsin)
Definition
Definition to come...
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