Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY L VANDENPUT, CPM LICENSED MIDWIFE
Active Sole ProprietorMidwife · GREEN BAY, WI
Registration Details
- NPI Number
- 1316208044
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 29, 2012 (13.937060258871 yrs)
- Last Updated
- Oct 12, 2016
- License
-
31-049 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1638 DECKNER AVEAPARTMENT ONEGREEN BAY, WI, 543022640Browse WI providers · Browse ZIP 54302
- Phone
- 9205629058
- Primary Specialty
-
Midwife
176B00000X
- Additional Specialty
- Doula
- Additional Specialty
- Lactation Consultant
- Additional Specialty
- Nutrition, Education
- Additional Specialty
- Case Manager
Other Midwife Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| KATHRYN M. STAM | CNM | 1407189285 |
| MRS. MAKAYLA JEAN GIESLER-DAGWER | LM, CPM | 1487012464 |
| AMBER MICOLICHEK | CPM, LM | 1881155463 |
| GINA JIMENEZ | CPM, LM | 1851909832 |
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.