Individual
STACI ELIZABETH MAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
N7158 STATE ROAD 128, SPRING VALLEY, WI 54767-8707
(715) 308-4625
Mailing address
N7158 STATE ROAD 128, SPRING VALLEY, WI 54767-8707
(715) 308-4625
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
196501-30
WI
363LF0000X
Family Nurse Practitioner
Primary
13853
WI
Other
Enumeration date
09/06/2013
Last updated
05/17/2026
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