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Individual

BETH E. STAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
1055 N MAYFAIR RD, WAUWATOSA, WI 53226-3436
(414) 479-2300
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5178
WI

Other

Enumeration date
12/07/2012
Last updated
03/13/2013
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