Individual
STEPHANIE M. RABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2131
(573) 815-4245
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5119-33
WI
363LA2100X
Acute Care Nurse Practitioner
2019029637
MO
363LA2100X
Acute Care Nurse Practitioner
5119
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420074801
—
MO
01
—
F400509758
MEDICARE
IL
05
—
PENDING
—
IL
Enumeration date
10/28/2012
Last updated
12/06/2021
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