Individual provider · Type 1 NPI
Stacy L. Boden, NP
Pediatric Nurse Practitioner · West Bend, WI
NPI number
1124250063
Active
Practice location
3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Fax (262) 306-2964
Mailing address
1700 W Paradise Dr
West Bend, WI 53095-9795
Other practice locations
- 8057 Spyglass Hill Rd Ste 102, Viera, FL 32940-8565 · (321) 435-9800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 144166 (WI) |
| Pediatric Nurse Practitioner | 363LP0200X | APRN11047916 (FL) |
Pediatric Nurse Practitioner: Definition to come...
102 other providers at this address
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- Alexandra HalbachSurgery Physician West Bend, WI NPI 1447873187
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Other pediatric nurse practitioner providers in West Bend
- Shanice S. Kukuck, APNPPediatric Nurse Practitioner West Bend, WI NPI 1063151330
- Samantha Starkey, DNP, APNP, CPNP-PCPediatric Nurse Practitioner West Bend, WI NPI 1316770266
- Julie Bolha, PPCNP-BCPediatric Nurse Practitioner West Bend, WI NPI 1386979193
- Rebecca KarlsPediatric Nurse Practitioner West Bend, WI NPI 1720755036
- Sandra Schaefer, APNPPediatric Nurse Practitioner West Bend, WI NPI 1750606737
About NPI 1124250063
Stacy L. Boden, NP's National Provider Identifier is 1124250063, issued on Aug 11, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in West Bend, WI. The record was last updated on Jun 15, 2026.