| Stephanie Diane Hurda, APNP | |
|
W3275 Wolf River Dr, Keshena, WI 54135-9202 | |
| (715) 304-9830 | |
| Not Available |
| Full Name | Stephanie Diane Hurda |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | W3275 Wolf River Dr, Keshena, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316674542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 12094 (Wisconsin) | Primary |
| Entity Name | Menominee Indian Tribe Of Wisconsin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568404721 PECOS PAC ID: 2668459264 Enrollment ID: O20040701000838 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Diane Hurda, APNP N5713 Riverside Dr, Shawano, WI 54166-1076 Ph: (715) 304-9830 | Stephanie Diane Hurda, APNP W3275 Wolf River Dr, Keshena, WI 54135-9202 Ph: (715) 304-9830 |
Sue C Weso, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Road, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-3099 | |
Sarah Harkey, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Road, Keshena, WI 54135 Phone: 715-799-3361 | |
Jacqueline Susan Moe, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Dr, Keshena, WI 54135 Phone: 715-799-3361 | |
Elizabeth A Radtke-petri, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Road, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-3099 |