Individual
STACEY MEREDITH SHUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2303
(832) 824-1000
Mailing address
9904 GRETTLE CT, RALEIGH, NC 27617-4236
(919) 368-1882
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
182941
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
2247
TX
Other
Enumeration date
01/12/2013
Last updated
01/12/2013
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