Individual
STACIE MARIE ZDROIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2820 ROOSEVELT RD, MARINETTE, WI 54143-3834
(715) 735-5225
Mailing address
PO BOX 1866, GREEN BAY, WI 54305-1866
(920) 445-7226
(920) 445-7238
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7933-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017013057
AMERICAN NURSES CREDENTIALING CENTER
—
Enumeration date
08/30/2017
Last updated
08/31/2020
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