Individual
SANDRA A STOCKHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
205 VALLEY AVE, WEST BEND, WI 53095-5312
(262) 338-1123
Mailing address
205 VALLEY AVE, WEST BEND, WI 53095-5312
(262) 338-1123
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
111138
WI
163WD0400X
Diabetes Educator Registered Nurse
Primary
111138
WI
Other
Enumeration date
01/02/2008
Last updated
08/11/2011
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