STACY LYNN WOLF BSN RN CDE NPI 1043876048

NPI Information

  • NPI: 1043876048
  • Provider Name: STACY LYNN WOLF, BSN, RN, CDE
  • Classification: Registered Nurse - 163WD0400X
  • Specialization: Diabetes Educator
  • Entity Type: Individual
  • Address: 200 WOODLAND PRIME
    W126 N7338
    MENOMONEE FALLS, WI
    ZIP 53051
  • Phone: (414) 777-5998

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NPI Details

Stacy Lynn Wolf, BSN, RN, CDE is a diabetes educator registered nurse in Menomonee Falls, WI. Stacy Lynn Wolf, BSN, RN, CDE NPI is 1043876048. 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:

200 WOODLAND PRIME
W126 N7338
MENOMONEE FALLS, WI
ZIP 53051
Phone: (414) 777-5998

The enumeration date for this NPI number is 5/15/2019 and was last updated on 5/15/2019.

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
1163WD0400XRegistered NurseDiabetes Educator21420589WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1400106543OTHERFROEDTERT HEALTH

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: 11/21/2025

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