Individual
MISS ELIZABETH R STUKENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APNP, FNP-BC
Contact information
Practice address
1201 MAIN ST, OCONTO, WI 54153-1541
(800) 242-7334
Mailing address
1201 MAIN ST, OCONTO, WI 54153-1541
(800) 242-7334
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
171349-30
WI
363L00000X
Nurse Practitioner
Primary
6542-33
WI
363LF0000X
Family Nurse Practitioner
6542 - 33
WI
Other
Enumeration date
11/20/2008
Last updated
09/19/2024
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