Stephanie Renae Nourollah, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

8277-33 Issued in WI

Practice address

10701 W Research Dr
Wauwatosa, WI 53226-3452

Phone

(866) 574-7135

NPI assigned

Feb 7, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Stephanie Renae Schultz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1255830048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 S US HIGHWAY 45",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549027465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 W RESEARCH DR",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263452",
            "telephone_number": "866-574-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOUROLLAH",
        "first_name": "STEPHANIE",
        "middle_name": "RENAE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "WI",
            "license": "178574-30",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8277-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SCHULTZ",
            "middle_name": "RENAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Norton
• Jan Lucas Nosse
• Larry John Nosse, PT
• Erin Notson
• Nouraddin Nashat Nouraddin, MD, FACP
• Nicole Novak, PA-C
• NP Wellness Consulting, LLC
• Numale Medical Center LLC
• Soujanya Nuthakki, MD
• Joan R. Nuttall, PH.D.

• Family Nurse Practitioner in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.