| NPI | 1386696169 |
|---|---|
| Other Name | ANITA M STUCKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: SC 954) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: SC AC52783) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2015-09-28 |