Stacy Biesel, RN, CDE
Registered Nurse, Diabetes Educator in Columbus, WI. Individual provider (NPI-1).
NPI number1043720105
StatusActive
Last updated in NPPESNov 7, 2017
Details
- NPI
- 1043720105
- Entity type
- Individual (NPI-1)
- Name
- Stacy Biesel
- Credential
- RN, CDE
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2017
- Last updated
- Nov 7, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WD0400X | Registered Nurse, Diabetes Educator | 178501-30 | WI | Yes |
| 163W00000X | Registered Nurse | 178501-30 | WI |
Practice location
1515 Park AveColumbus, WI 53925-1618
Phone 920-623-1244
Mailing address
215 Acker PkwyDeforest, WI 53532-1002
Phone 608-842-0759
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