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Individual

MRS. STACY DENISE COWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1924 STILLMEADOW CT, VIRGINIA BEACH, VA 23456-4940
(321) 287-4927
Mailing address
1924 STILLMEADOW CT, VIRGINIA BEACH, VA 23456-4940
(321) 287-4927

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN1169953
VA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN9231733
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN1169953
REGISTERED NURSE LICENSE
VA
01
RN9231733
REGISTERED NURSE LICENSE
FL
Enumeration date
09/24/2006
Last updated
11/21/2016
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