Individual
STEFFANY MARIE DI BIASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3237 VOYAGER DR, GREEN BAY, WI 54311-8349
(920) 468-8288
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2377
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9064-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100086978
—
WI
Enumeration date
03/14/2019
Last updated
11/30/2021
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