Individual provider · Type 1 NPI
Stacey Renee Sandbo, NP
Adult Health Nurse Practitioner · Middleton, WI
NPI number
1619192671
Active
Practice location
7850 Autumn Pond Trl
Middleton, WI 53562-4083
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 4428-33 (WI) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1619192671
Stacey Renee Sandbo, NP's National Provider Identifier is 1619192671, issued on Apr 16, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Middleton, WI. The record was last updated on Jun 24, 2025.