Individual provider · Type 1 NPI
Stephanie J. Fossum, NP
Pediatric Nurse Practitioner · Madison, WI
NPI number
1952144891
Active
Practice location
600 Highland Ave
Madison, WI 53792-0001
Mailing address
7974 Uw Health Ct
Middleton, WI 53562-5531
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 15448 (WI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1952144891
Stephanie J. Fossum, NP's National Provider Identifier is 1952144891, issued on Jun 18, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Madison, WI. The record was last updated on Dec 18, 2024.