Individual provider · Type 1 NPI

Stephanie Renae Nourollah, FNP-BC

Family Nurse Practitioner · Wauwatosa, WI

NPI number 1255830048 Active

Practice location

10701 W Research Dr
Wauwatosa, WI 53226-3452

Call (866) 574-7135 Map

Mailing address

4777 S US Highway 45
Oshkosh, WI 54902-7465

Specialties and licenses

Taxonomy	Code	License
Gerontology Registered Nurse	163WG0600X	178574-30 (WI)
Family Nurse Practitioner Primary	363LF0000X	8277-33 (WI)

Family Nurse Practitioner: Definition to come...

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About NPI 1255830048

Stephanie Renae Nourollah, FNP-BC's National Provider Identifier is 1255830048, issued on Feb 7, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wauwatosa, WI. The record was last updated on Mar 12, 2018.