Individual
MRS. STACIE M VALUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937-2999
(920) 907-7000
(920) 907-7021
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5356
WI
363LA2200X
Adult Health Nurse Practitioner
5356-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100032253
—
WI
Enumeration date
07/25/2013
Last updated
10/20/2025
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