STACI J BORIS FNP NPI 1386001154

NPI Information

NPI: 1386001154
Provider Name: STACI J BORIS, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2500 E CAPITOL DR
APPLETON, WI
ZIP 54911
Phone: (866) 455-8111
Get Directions

Staci J Boris, FNP is a family nurse practitioner in Appleton, WI. Staci J Boris, FNP NPI is 1386001154. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2500 E CAPITOL DR
APPLETON, WI
ZIP 54911-735
Phone: (866) 455-8111
Fax: (920) 883-0491

The NPI 1386001154 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/25/2016 and was last updated on 10/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	10173	WISCONSIN	Yes
2	363LF0000X	Nurse Practitioner	Family	4704210616	MICHIGAN	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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