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STACEY RENAE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP

Contact information

Practice address
3001 HUNGARY SPRING RD STE C, HENRICO, VA 23228-2428
(804) 415-7156
(804) 420-2854
Mailing address
4042 CAMBRIAN CIR, MIDLOTHIAN, VA 23112-5023
(804) 888-1198

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024181325
VA

Other

Enumeration date
10/04/2021
Last updated
06/14/2022
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