Individual
STACY NAGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
3700 SOUTHERN BLVD STE 300, KETTERING, OH 45429-1265
(193) 764-3929
(937) 643-2343
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA.17474-NP
OH
Other
Enumeration date
07/13/2015
Last updated
01/25/2024
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