Individual provider · Type 1 NPI

Stacy A. Leidel, APNP

Nurse Practitioner · Madison, WI

NPI number 1154415842 Active

Practice location

1102 S Park St
Madison, WI 53715-1708

Fax (608) 263-6663

Mailing address

2901 W Beltline Hwy, Suite 120
Madison, WI 53713-4226

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X226405-30 (WI)
Nurse Practitioner Primary 363L00000X6809-33 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1154415842

Stacy A. Leidel, APNP's National Provider Identifier is 1154415842, issued on Oct 3, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Madison, WI. The record was last updated on Feb 3, 2016.