Individual
HELENE R STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 955-4170
(414) 955-6543
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 955-4170
(414) 955-6543
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
209014748
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
5177
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093069619
—
WI
Enumeration date
11/05/2012
Last updated
07/10/2025
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