Individual
DANA MARIE STINNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
334 S WESTERN AVE, JUNEAU, WI 53039-1163
(920) 386-0290
(920) 386-0288
Mailing address
706 O CONNELL ST, WATERTOWN, WI 53094-7662
(920) 206-8288
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7510
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7510-33
WI LICENSE
WI
Enumeration date
01/03/2017
Last updated
02/09/2017
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