Provider Demographics
NPI:1932207347
Name:KRUEGER STANISZEWSKI, NANCY E (PHD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:E
Last Name:KRUEGER STANISZEWSKI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:NANCY
Other - Middle Name:E
Other - Last Name:KRUEGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:N49W16933 FOX RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-6694
Mailing Address - Country:US
Mailing Address - Phone:715-281-8180
Mailing Address - Fax:
Practice Address - Street 1:MENTAL HEALTH DIVISION
Practice Address - Street 2:5000 W. NATIONAL AVENUE
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53295-0001
Practice Address - Country:US
Practice Address - Phone:414-382-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3579-125101YM0800X
WI2690-057103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical