Individual
MS. TRACY STICHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
86 WREN ST, BARNWELL, SC 29812-1529
(803) 259-5762
Mailing address
86 WREN ST, BARNWELL, SC 29812-1529
(803) 259-5762
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23497
SC
363LP2300X
Primary Care Nurse Practitioner
0101760
CO
Other
Enumeration date
04/16/2020
Last updated
01/09/2025
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