Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Country Midwife LLC

Organization Registered Nurse · NPI 1255505525

Country Midwife LLC is a Registered Nurse in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.

Licensed in
WI
In the registry since
2008
Specialties on file
11
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1638 Deckner Ave Ste A
Green Bay, WI 54302-2640
Phone: (920) 562-9058
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 107888-030 (WI)
Registered Nurse Taxonomy 163W00000X
Home Health Registered Nurse Taxonomy 163WH0200X
Lactation Consultant (Registered Nurse) Taxonomy 163WL0100X
Maternal Newborn Registered Nurse Taxonomy 163WM0102X
Ambulatory Women's Health Care Registered Nurse Taxonomy 163WW0101X
Midwife Taxonomy 176B00000X · Licence 31-049 (WI)
Midwife Taxonomy 176B00000X
Midwife Taxonomy 176B00000X (WI)
Birthing Clinic/Center Taxonomy 261QB0400X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1255505525
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Vandenput — Midwife, Manager · (920) 562-9058
Other names Country Midwife
NPI enumeratedApril 17, 2008
Last updated in NPPESNovember 5, 2010
Mailing address1638 Deckner Ave, Suite A, Green Bay, WI 54302-2640

Other providers in Green Bay