Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY L BODEN, NP
ActiveSTACY L BODEN, NP is a Pediatric Nurse Practitioner healthcare provider located in WEST BEND, Wisconsin. NPI 1124250063 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · WEST BEND, WI
Registration Details
- NPI Number
- 1124250063
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 11, 2009 (16.980231120547 yrs)
- Last Updated
- Aug 11, 2009
- License
-
144166 (WI)
Practice Information
- Address
-
3200 PLEASANT VALLEY RDWEST BEND, WI, 530959274Browse WI providers · Browse ZIP 53095
- Phone
- 2623343451
- Fax
- 2623062964
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
Other Pediatric Nurse Practitioner Providers in WEST BEND, WI
| Name | Credential | NPI |
|---|---|---|
| JULIE BOLHA | PPCNP-BC | 1386979193 |
| SANDRA SCHAEFER | APNP | 1750606737 |
| DR. SHANICE S KUKUCK | APNP | 1063151330 |
| SAMANTHA STARKEY | DNP, APNP, CPNP-PC | 1316770266 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.