Individual
MARY ELLEN STOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1526 ROSE STREET, LA CROSSE, WI 54603
(608) 781-9880
(608) 783-5426
Mailing address
1526 ROSE STREET, LA CROSSE, WI 54603
(608) 781-9880
(608) 783-5426
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
803-033
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
803-033
WI
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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