NPI 1194536334

Elise Damico-Stano

Practitioner Nutrition Support Registered Nurse New Berlin, WI

Practice location

Address: 2787 S Amor Dr, New Berlin, WI 53146-2304
Phone: (414) 639-5239

Registered specialties

Nutrition Support Registered Nurse Primary

Nursing Service Providers Taxonomy 163WN1003X Licence 163149-030 (WI)

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Registry record

NPI: 1194536334
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jan 2025
Record last updated: 16 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.