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

Individual provider Midwife · NPI 1316208044

Stacy L Vandenput, CPMLICENSEDMIDWIFE is a Midwife in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2012
Specialties on file
6
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Practice location Address checks out

1638 Deckner Ave Apt One
Green Bay, WI 54302-2640
Phone: (920) 562-9058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Midwife (primary) Taxonomy 176B00000X · Licence 31-049 (WI)
Doula Taxonomy 374J00000X
Lactation Consultant (Non-RN) Taxonomy 174N00000X
Nutrition Education Nutritionist Taxonomy 133NN1002X
Case Manager/Care Coordinator Taxonomy 171M00000X
Health Educator Taxonomy 174H00000X

Record details

NPI number1316208044
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPMLICENSEDMIDWIFE
Sole proprietorYes
NPI enumeratedMay 29, 2012
Last updated in NPPESOctober 12, 2016

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