Individual
SHAYNA STOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 738-6546
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 738-6546
(920) 738-6329
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11082-33
WI
Other
Enumeration date
08/19/2021
Last updated
12/30/2021
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