Individual provider · Type 1 NPI
Mary Ellen Stolder, NURSE PRACTITIONER
Adult Health Nurse Practitioner · La Crosse, WI
NPI number
1386441152
Active
Practice location
1526 Rose Street
La Crosse, WI 54603
Fax (608) 783-5426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 803-033 (WI) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 803-033 (WI) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1386441152
Mary Ellen Stolder, NURSE PRACTITIONER's National Provider Identifier is 1386441152, issued on Feb 27, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in La Crosse, WI. The record was last updated on Feb 27, 2025.