Individual
STACY GHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
960 E WALNUT LAWN ST STE 200, SPRINGFIELD, MO 65807-7865
(417) 269-4450
Mailing address
3876 STATE HIGHWAY ZZ, BILLINGS, MO 65610-9068
(417) 300-2441
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2021035415
MO
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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