Individual
MS. STEPHANIE PATRICE BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5535 N 52ND ST, MILWAUKEE, WI 53218-3316
(414) 535-8598
Mailing address
5535 N 52ND STREET, MILWAUKEE, WI 53218
(414) 535-8598
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307089-31
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
307089-31
LPN
WI
Enumeration date
12/06/2012
Last updated
12/06/2012
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