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Individual

MRS. STACI S O'DELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
HEALTHCARE FOR THE HOMELESS OF MILWAUKEE, INC, 210 WEST CAPITOL DRIVE, MILWAUKEE, WI 53212
(414) 727-6320
(414) 727-6321
Mailing address
HEALTHCARE FOR THE HOMELESS OF MILWAUKEE, INC, 210 WEST CAPITOL DRIVE, MILWAUKEE, WI 53212
(414) 727-6320
(414) 727-6321

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
131460-030
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3433-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0058230
IA
Enumeration date
02/14/2006
Last updated
12/13/2011
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