Individual
MS. STELLA M MAHAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8777 W FOREST HOME AVE, GREENFIELD, WI 53228-3421
(262) 292-4777
(262) 518-7052
Mailing address
8777 W FOREST HOME AVE, GREENFIELD, WI 53228-3421
(262) 292-4777
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7261-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7261-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255598140
—
WI
Enumeration date
05/19/2008
Last updated
11/12/2024
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