Individual
STEPHANIE SHIREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4635 W COLLEGE AVE, APPLETON, WI 54914-8507
(920) 750-7000
Mailing address
4635 W COLLEGE AVE, APPLETON, WI 54914-8507
(920) 750-7000
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
198941-30
WI
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN148353
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11218-33
WI
Other
Enumeration date
03/24/2016
Last updated
01/07/2022
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