Individual
SARA MARIE STAFFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 729-3100
Mailing address
W6217 RAVEN RD, WAUSAUKEE, WI 54177-9013
(920) 342-8651
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11666
WI
363LG0600X
Gerontology Nurse Practitioner
11666
WI
364SA2200X
Adult Health Clinical Nurse Specialist
11666
WI
Other
Enumeration date
09/21/2021
Last updated
01/24/2022
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