Sandbo, Stacey Renee

Sandbo, Stacey Renee is an individual health care provider with primary practice located at 7850 Autumn Pond Trl , Middleton WI 53562-4083. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sandbo, Stacey Renee can be contacted via phone (608) 413-0214.

Contact Information

Primary practice address
7850 Autumn Pond Trl Middleton WI 53562-4083
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4428 Wisconsin

Profile Details

NPI number 1619192671
LBN Legal business name Sandbo, Stacey Renee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Aug 5th, 2021 - about 3 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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