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Individual
MRS. STACY BERLEKAMP SPATAR
Active
Individual
MRS. STACY BERLEKAMP SPATAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
829333
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250008105
—
NV
Enumeration date
07/24/2013
Last updated
03/22/2022
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