NPI | 1831588516 |
---|---|
Former Name | STACEY LYNN DUNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP7546) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173627) |
Enumeration Date | 2015-01-17 |
Last Update Date | 2023-04-12 |