Individual
MRS. STACIE BARTHOLOMEW
Active
Individual
MRS. STACIE BARTHOLOMEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN CWON
Taxonomy
Speciality
Code
Description
License number
State
163WE0900X
Enterostomal Therapy Registered Nurse
2005458166
WI
163WW0000X
Wound Care Registered Nurse
Primary
20054566898
WI
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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