STACEY RENEE WARDEN

CENTRE, AL
NPI1679194351
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-102742)
Enumeration Date2020-05-04
Last Update Date2020-05-04
Business Address
STACEY RENEE WARDEN
1925 W MAIN ST
CENTRE, AL 35960-2812
Phone number: 256-677-4552
Mailing Address
STACEY RENEE WARDEN
1500 1ST AVE N UNIT 3
BIRMINGHAM, AL 35203-1866
Phone number: 205-644-8256
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