Individual
ANITA STAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, FNP-BC
Contact information
Practice address
110 LONE OAK LN, HARTFORD, WI 53027-2600
(262) 670-1800
Mailing address
110 LONE OAK LN, HARTFORD, WI 53027-2600
(262) 670-1800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11114-33
WI
Other
Enumeration date
07/27/2021
Last updated
03/06/2024
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