Doctor Name: | ALLSION R STACHE |
NPI Number: | 1063835288 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APNP |
License Number: | 5646 |
Business Practice Address: | 1516 S Commercial St Neenah, WI - 549564802 |
Business Phone Number: | 9207250077 |
Business Fax Number: | 9207256535 |
Mailing Address: | Po Box 8003, APPLETON |
State: | WI |
Postal Code: | 549128003 |
Phone Number: | 9209963200 |
Fax Number: | 9207385787 |
NPI Enumeration Date: | 01/23/2014 |
NPI Last Update Date: | 01/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 5646 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |