STACEY L. FAWBUSH

SPRINGFIELD, MO
NPI1104215854
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MO  2014044284)
Enumeration Date2015-01-20
Last Update Date2019-04-03
Business Address
STACEY L. FAWBUSH FNP-C
1000 E PRIMROSE ST
SPRINGFIELD, MO 65807-5154
Phone number: 417-269-9812
Mailing Address
STACEY L. FAWBUSH FNP-C
PO BOX 4046
SPRINGFIELD, MO 65808-4046
Phone number: 417-269-5712