Mary Stample, APNP
Mary Stample, APNP is a Nurse Practitioner in Appleton, Wisconsin. Qualified in 2022, 4 years ago. Practices with Farrar and Associates Mental Health SC, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.
- Years since qualifying
- 4
- Licensed in
- WI
- In the registry since
- 2023
Practice location Address checks out
2500 E Enterprise Ave Ste BAppleton, WI 54913-8556
Phone: (920) 416-8577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 13509-33 (WI) |
|---|
Record details
| NPI number | 1750096145 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | APNP |
| Sole proprietor | No |
| NPI enumerated | January 19, 2023 |
| Last updated in NPPES | September 19, 2023 |
| Certification date | September 19, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Farrar And Associates Mental Health Sc — 9 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Appleton
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Debra L. Franciosi, APNP
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-
Laura Anne Goggins, NP
4635 W College Ave, Appleton, WI 54914-8507 · (920) 750-7000
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Janelle J. Jensen, APNP
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Shuba Samuel, FNP, PMHNP
10 Tri Park Way # WI, Appleton, WI 54914-1658 · (920) 831-0070