Stacie A Ebben, NP

NPI #1326769498 in Appleton, Wisconsin

Provider Information

NPI Number: 1326769498
Entity Type: Individual
Name: Stacie A Ebben, NP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: NP
Enumeration Date: Sep 7, 2022
Last Updated: Oct 13, 2025

Practice Location

Address: 3925 N GATEWAY DR
City: Appleton
State: Wisconsin
ZIP Code: 54913-7863
Phone: (920) 830-6877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X
Nurse Practitioner	363L00000X	Primary
Nurse Practitioner - Family — Family	363LF0000X

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