| NPI | 1831588516 |
|---|---|
| Former Name | STACEY LYNN DUNN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP7546) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173627) |
| 363L00000X Nurse Practitioner (Licence: AZ AP7546) | |
| Enumeration Date | 2015-01-17 |
| Last Update Date | 2025-12-31 |