Healthcare Provider Details

I. General information

NPI: 1568387223
Provider Name (Legal Business Name): HEIDI STADELE DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 OVERLOOK TER
MADISON WI
53705-2254
US

IV. Provider business mailing address

121 GLEN VIEW RD
MOUNT HOREB WI
53572-3391
US

V. Phone/Fax

Practice location:
  • Phone: 608-280-7170
  • Fax:
Mailing address:
  • Phone: 608-475-0247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1720733
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: