Individual
STACEY DAWN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 1320, NEWARK, DE 19718-2953
(027) 334-2803
Mailing address
200 HYGEIA DR STE 2300, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0001078
DE
363LF0000X
Family Nurse Practitioner
R161647
MD
Other
Enumeration date
06/19/2018
Last updated
04/01/2019
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