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

Stacy L Boden, NP

Individual provider Pediatric Nurse Practitioner · NPI 1124250063

Stacy L Boden, NP is a Pediatric Nurse Practitioner in West Bend, Wisconsin. Works from 2 locations. Licensed in Florida and Wisconsin.

Licensed in
FL, WI
In the registry since
2009
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone: (262) 334-3451
Fax: (262) 306-2964
Show map & directions

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

Additional practice locations (1)

  • 8057 Spyglass Hill Rd Ste 102, Viera, FL 32940-8565 — (321) 435-9800

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 144166 (WI)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence APRN11047916 (FL)

Record details

NPI number1124250063
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 11, 2009
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address1700 W Paradise Dr, West Bend, WI 53095-9795

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