Individual
STACI MARIE KEMNADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., ACNP-BC
Contact information
Practice address
6720 BERTNER ST, MC 4-278, BOX 112, HOUSTON, TX 77030-2604
(832) 355-3487
(832) 355-6865
Mailing address
6720 BERTNER ST, MC 4-278, BOX 112, HOUSTON, TX 77030-2604
(832) 355-3482
(832) 355-6865
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
712481
TX
Other
Enumeration date
10/08/2010
Last updated
05/03/2012
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