Drew, Stephanie Kelly

Drew, Stephanie Kelly is an individual health care provider with primary practice located at 1000 Gateway Ct Ste 100 , West Bend WI 53095-8541. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Drew, Stephanie Kelly can be contacted via phone (920) 204-6758.

Contact Information

Primary practice address
1000 Gateway Ct Ste 100 West Bend WI 53095-8541
Phone: (920) 204-6758
Fax: (888) 720-0495
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN585810 Pennsylvania
Nursing Service Providers / Registered Nurse 163W00000X R212599-6 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP011850 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R212599-6 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 12021-33 Wisconsin

Profile Details

NPI number 1235408691
LBN Legal business name Drew, Stephanie Kelly
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2011
Last updated Jul 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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