Individual
MRS. STACEY ALLYSUN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 260, MILWAUKEE, WI 53215-3631
(414) 649-6780
(414) 649-6030
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 649-6780
(414) 649-6030
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
197066
WI
363L00000X
Nurse Practitioner
Primary
8624
WI
363LF0000X
Family Nurse Practitioner
8624
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080881
—
WI
Enumeration date
08/16/2018
Last updated
11/24/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us