Individual
THERESA HARRINGTON STUKUS
Active
Individual
THERESA HARRINGTON STUKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
RN61810
DC
363LA2200X
Adult Health Nurse Practitioner
Primary
0024165377
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00678664
RAILROAD MEDICARE
DC
Enumeration date
12/14/2005
Last updated
01/08/2013
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