Individual
STEPHANIE W WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
824 ILLINOIS AVENUE, STEVENS POINT, WI 54481
(715) 342-7500
Mailing address
900 ILLINOIS AVENUE, STEVENS POINT, WV 54481
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2180
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43973400
—
WI
Enumeration date
02/28/2007
Last updated
05/27/2008
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