Wolf, Stacy Lynn

Wolf, Stacy Lynn is an individual health care provider with primary practice located at 200 Woodland Prime W126 N7338, Menomonee Falls WI 53051. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Wolf, Stacy Lynn can be contacted via phone (414) 777-5998.

Contact Information

Primary practice address
200 Woodland Prime W126 N7338 Menomonee Falls WI 53051
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 21420589 Wisconsin

Profile Details

NPI number 1043876048
LBN Legal business name Wolf, Stacy Lynn
Credentials BSN, RN, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2019
Last updated May 15th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043876048 NPPES
Other 400106543 FROEDTERT HEALTH

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