Individual
DR. STACEY PAULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, PNP-AC
Contact information
Practice address
112 N 82ND ST, BELLEVILLE, IL 62223-2121
(618) 420-1532
Mailing address
112 N 82ND ST, BELLEVILLE, IL 62223-2121
(618) 420-1532
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
2024038091
MO
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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