Stefany Kayleen Clayborn

Individual provider Active NPI Ambulatory Care Registered Nurse · Tomah, WI

NPI 1033058201 · NPPES record last updated Mar 25, 2026

Key facts

NPI
1033058201
Entity type
Individual (NPI type 1)
Primary specialty
Ambulatory Care Registered Nurse 163WP2201X
License
218333-30 (WI)
Practice address
500 E Veterans St
Tomah, WI 54660-3105
Phone
(608) 372-1270
NPI assigned
Mar 25, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
218333-30WIMDAmbulatory Care Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 218333-30 WI Yes

Addresses

Primary practice location

500 E Veterans St
Tomah, WI 54660-3105

Mailing address

9848 Ellsworth Rd
Tomah, WI 54660-4223
Phone (608) 372-1270

Other providers in Tomah, WI

All providers in Tomah, WI · Ambulatory Care Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.