Individual
MS. STACEY LEA SPAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, FNP-C
Contact information
Practice address
460 N BIRON DR, WISCONSIN RAPIDS, WI 54494-1843
(715) 507-6118
(833) 471-4700
Mailing address
7795 LAKE THOMAS RD, STEVENS POINT, WI 54482-9744
(715) 347-5654
(833) 471-4700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
128550-030
WI
363LF0000X
Family Nurse Practitioner
Primary
14197-33
WI
363LF0000X
Family Nurse Practitioner
852688
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35061700
—
WI
Enumeration date
08/27/2008
Last updated
04/24/2025
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