Vandenput, Stacy L

Vandenput, Stacy L is an sole proprietor health care provider with primary practice located at 1638 Deckner Ave Apartment One, Green Bay WI 54302-2640. She recently has 6 registered licenses in different health care specialties including Other Service Providers / Midwife, Nursing Service Related Providers / Doula, Other Service Providers / Lactation Consultant, Non-RN, Dietary & Nutritional Service Providers / Nutrition, Education, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Health Educator. Other Service Providers / Midwife is her primary health care specialty. Vandenput, Stacy L can be contacted via phone (920) 562-9058.

Contact Information

Primary practice address
1638 Deckner Ave Apartment One Green Bay WI 54302-2640
Phone: (920) 562-9058
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 31-049 Wisconsin
Nursing Service Related Providers / Doula 374J00000X
Other Service Providers / Lactation Consultant, Non-RN 174N00000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1316208044
LBN Legal business name Vandenput, Stacy L
Credentials CPM LICENSED MIDWIFE
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2012
Last updated Oct 12th, 2016 - about 9 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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