STACY L VANDENPUT

GREEN BAY, WI
NPI1316208044
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: WI  31-049)
Additional Taxonomies374J00000X Doula
174N00000X Lactation Consultant, Non-RN
133NN1002X Nutritionist, Nutrition, Education
171M00000X Case Manager/Care Coordinator
174H00000X Health Educator
Enumeration Date2012-05-29
Last Update Date2016-10-12
Business Address
-- STACY L VANDENPUT CPM Licensed Midwife
1638 DECKNER AVE APARTMENT ONE
GREEN BAY, WI 54302-2640
Phone number: 920-562-9058
Mailing Address
-- STACY L VANDENPUT CPM Licensed Midwife
1638 DECKNER AVE APARTMENT ONE
GREEN BAY, WI 54302-2640
Phone number: 920-562-9058