Healthcare Provider Details

I. General information

NPI: 1750121331
Provider Name (Legal Business Name): STEPHANIE LYNN WINTERS BABYAR APRN-NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE LYNN BABYAR

II. Dates (important events)

Enumeration Date: 05/30/2024
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 W WISCONSIN AVE
MILWAUKEE WI
53226-3522
US

IV. Provider business mailing address

9200 W WISCONSIN AVE
MILWAUKEE WI
53226-3522
US

V. Phone/Fax

Practice location:
  • Phone: 414-805-4400
  • Fax: 414-805-4639
Mailing address:
  • Phone: 414-805-4400
  • Fax: 414-805-4639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number243709
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number15847-033
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: