Individual
STACY SPREWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
888 N EDGE TRL, VERONA, WI 53593-1947
(608) 957-9483
Mailing address
888 N EDGE TRL, VERONA, WI 53593-1947
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
167609
WI
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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