Individual provider · Type 1 NPI
Brenda Stallbaum, APNP
Psychiatric/Mental Health Nurse Practitioner · Manitowoc, WI
NPI number
1124565882
Active
Practice location
339 Reed Ave
Manitowoc, WI 54220-2020
Mailing address
PO Box 2290
Manitowoc, WI 54221-2290
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 7373-33 (WI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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- Heather Marie Bruckschen, LPC, CSACMental Health Counselor Manitowoc, WI NPI 1831609098
- Lee A. Werner, NPAdult Psychiatric/Mental Health Clinical Nurse Specialist Manitowoc, WI NPI 1437132701
- Marianne E. Webers, MSWClinical Social Worker Manitowoc, WI NPI 1053331090
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About NPI 1124565882
Brenda Stallbaum, APNP's National Provider Identifier is 1124565882, issued on Jan 19, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Manitowoc, WI. The record was last updated on Jun 21, 2019.