Individual
PATRICIA STADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
570 REDMAN ST, CHUBBUCK, ID 83202-2671
(602) 703-4196
Mailing address
570 REDMAN ST, CHUBBUCK, ID 83202-2671
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53856
ID
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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