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Individual
STACY FUGATE
Active
Individual
STACY FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0029349
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN.CNP.0029349
STATE BOARD OF NURSING
OH
Enumeration date
07/26/2021
Last updated
02/02/2024
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