Individual
MRS. LACEY R PREVALLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
530 N MIDDLE ST, FARMINGTON, MO 63640-1570
(573) 756-3000
Mailing address
750 CLOVER LN, FARMINGTON, MO 63640-3336
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
2011032659
MO
363LF0000X
Family Nurse Practitioner
Primary
2017002573
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245782549
—
MO
Enumeration date
11/03/2016
Last updated
02/15/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us