Individual
STEPHANIE DIANE HURDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
W3275 WOLF RIVER DR, KESHENA, WI 54135-9202
(715) 304-9830
Mailing address
N5713 RIVERSIDE DR, SHAWANO, WI 54166-1076
(715) 304-9830
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12094
WI
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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