Stacy Vandenput, CPM LICENSED MIDWIFE

NPI 1316208044 · on the registry since 2012 · sole proprietor

Practice

Address: 1638 Deckner Ave
Apartment One
Green Bay, WI 54302
Phone: (920) 562-9058
Organisation at this address: Country Midwife Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 176B00000X
176B00000X
Also registered as: 374J00000X
174N00000X
133NN1002X
171M00000X
174H00000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-10-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin