Individual
DR. CHRISTINA MARIE STALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
5250 S 108TH ST STE 150, HALES CORNERS, WI 53130-0017
(414) 400-9375
Mailing address
5250 S 108TH ST STE 150, HALES CORNERS, WI 53130-0017
(414) 400-9375
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15619
WI
363LA2100X
Acute Care Nurse Practitioner
15619-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100289785
—
WI
Enumeration date
07/18/2024
Last updated
05/28/2026
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