Individual
STACY L SIMENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
2266 N PROSPECT AVE, SUITE 304, MILWAUKEE, WI 53202-6319
(414) 220-9990
(414) 221-0001
Mailing address
PO BOX 11947, MILWAUKEE, WI 53211-0947
(414) 220-9990
(414) 221-0001
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
136594-030
WI
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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