Stukenberg, Patricia A
Stukenberg, Patricia A is an individual health care provider with primary practice located at 855 S Main St , Oconto Falls WI 54154-1241. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Stukenberg, Patricia A can be contacted via phone (920) 846-3444.Contact Information
Primary practice address
855 S Main St
Oconto Falls WI 54154-1241
Phone: (920) 846-3444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 10318-33 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 10318-33 | Wisconsin |
Profile Details
| NPI number | 1295315695 |
|---|---|
| LBN Legal business name | Stukenberg, Patricia A |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2021 |
| Last updated | Apr 22nd, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295315695 | NPPES |
| Wisconsin | MEDICAID | 100167281 |
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