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

Individual provider Prosthetic/Orthotic Supplier · NPI 1477892412

Stacey M Nellen-Kolze is a Prosthetic/Orthotic Supplier in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2013
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Practice location Address checks out

2031 S Webster Ave Ste B
Green Bay, WI 54301-2257
Phone: (920) 393-4912
Fax: (920) 393-4913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence 456-1026562299-04 (WI)

Record details

NPI number1477892412
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 12, 2013
Last updated in NPPESFebruary 12, 2013

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