Individual
MELANIE VINING STACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 PILOT MEDICAL DR STE 300, BIRMINGHAM, AL 35235-3412
(205) 815-4777
(205) 815-4777
Mailing address
100 PILOT MEDICAL DR STE 300, BIRMINGHAM, AL 35235-3412
(205) 856-2284
(205) 815-4777
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F061712115
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AL
Enumeration date
10/11/2017
Last updated
10/11/2017
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