| NPI | 1780319269 |
|---|---|
| Former Name | STEPHANIE ANN MCCLURE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0135591) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 073555-23) |
| 364SX0200X Clinical Nurse Specialist, Oncology (Licence: NH 073555-23) | |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2023-01-17 |