MEDICARE: AMIE JO STEGER APNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	168092	WI
2	363LF0000X	Family Nurse Practitioner	10993-33	WI

General Provider Information

NPI Number	:	1659946549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIE JO STEGER APNP

Provider Business Mailing Address
First Line	:	752 HAMPTON AVE
Second Line	:
City	:	FOND DU LAC
State	:	WI
Zip	:	54935-6561
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 E SHEBOYGAN ST
Second Line	:
City	:	CAMPBELLSPORT
State	:	WI
Zip	:	53010-2795
Country	:	US
Telephone Number	:	920-533-8361
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2021
Last Update Date	:	05/11/2023

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Directions to “ AMIE JO STEGER APNP” Practice Location

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