Individual
MARY STAMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2500 E ENTERPRISE AVE STE B, APPLETON, WI 54913-8556
(920) 416-8577
Mailing address
2500 E ENTERPRISE AVE STE B, APPLETON, WI 54913-8556
(920) 416-8577
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13509-33
WI
Other
Enumeration date
01/19/2023
Last updated
09/19/2023
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