Individual
STEPHANIE RUBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3669
(414) 384-5111
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9903-33
WI
363LF0000X
Family Nurse Practitioner
9903-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100099442
—
WI
Enumeration date
05/11/2020
Last updated
01/28/2026
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