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

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X7373-33 (WI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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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.