Individual
JUDITH ANN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, PMHNP-BC
Contact information
Practice address
1215 WEST KNAPP ST, RICE LAKE, WI 54868
(715) 236-4450
(715) 236-1831
Mailing address
1215 WEST KNAPP ST, RICE LAKE, WI 54868
(715) 236-4450
(715) 236-1831
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
2021051348
WI
363L00000X
Nurse Practitioner
11475
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11475-33
WI
Other
Enumeration date
09/09/2021
Last updated
05/09/2025
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