Individual
MRS. MARTIZA CHANTAY STALLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
605 S JEFFERSON ST, PRINCETON, KY 42445-2173
(270) 365-9455
(270) 365-9456
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3002951
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78011301
—
KY
Enumeration date
09/17/2006
Last updated
10/26/2016
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