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Individual
TRISHA A STUCKEY
Active
Individual
TRISHA A STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002093A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300004557
—
IN
Enumeration date
05/17/2006
Last updated
01/27/2022
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