NPI | 1356663041 |
---|---|
Former Name | STACEY PRITCHETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008282) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5008282) |
Enumeration Date | 2010-02-22 |
Last Update Date | 2025-10-06 |