STEPHANIE J FOSSUM

MADISON, WI
NPI1952144891
Former NameSTEPHANIE J NAKANO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: WI  15448)
Enumeration Date2024-06-18
Last Update Date2024-12-18
Business Address
STEPHANIE J FOSSUM NP
600 HIGHLAND AVE
MADISON, WI 53792-0001
Phone number: 608-263-6420
Mailing Address
STEPHANIE J FOSSUM NP
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number: