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Individual
NANCY STOCKMAN
Active
Individual
NANCY STOCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, CNM
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN15032
MT
367A00000X
Advanced Practice Midwife
RN15032
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000036070
BCBS PIN
MT
01
—
0431749
MDCD PIN
MT
01
—
115644600
MDCD PIN
WY
Enumeration date
01/08/2007
Last updated
11/07/2012
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