| NPI | 1750958104 |
|---|---|
| Doing Business As | STELLAR CARE |
| Entity Type | Organization |
| Authorized Contact | SHANNA MARIE JOHNSON President 414-573-0179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2024-05-30 |