Healthcare Provider Details

I. General information

NPI: 1346672888
Provider Name (Legal Business Name): STEFANIE M ZULEGER RN, MSN, ACNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEFANIE M PAGEL

II. Dates (important events)

Enumeration Date: 08/07/2013
Last Update Date: 06/27/2024
Certification Date: 06/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 E CAPITOL DR
APPLETON WI
54911-8735
US

IV. Provider business mailing address

3 NEENAH CTR
NEENAH WI
54956-3070
US

V. Phone/Fax

Practice location:
  • Phone: 920-364-3600
  • Fax: 920-364-3900
Mailing address:
  • Phone: 920-364-3600
  • Fax: 920-830-5910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number6545
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number6545
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: