STACEY PENICK STANDRIDGE

COVINGTON, LA
NPI1699059535
Former NameSTACEY ELIZABETH PENICK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  105551-6626)
Enumeration Date2011-10-10
Last Update Date2016-10-26
Business Address
-- STACEY PENICK STANDRIDGE NP
1000 OCHSNER BLVD
COVINGTON, LA 70433
Phone number: 985-871-0095
Mailing Address
-- STACEY PENICK STANDRIDGE NP
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121-2429
Phone number: 504-842-4000
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