Individual
ANNETTE STAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.N., A.R.N.P.
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
74284
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100423870
KMAP
KS
01
—
11474144
CAQH
KS
Enumeration date
02/19/2008
Last updated
08/15/2011
Update your record
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