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Individual

CHRISTY STAATS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
2275 DEMING WAY, SUITE 220, MIDDLETON, WI 53562-5527
(608) 417-8388
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5704
WI
363LF0000X
Family Nurse Practitioner
5704-33
WI

Other

Enumeration date
09/16/2011
Last updated
10/16/2014
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