Individual
STACY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1 MEDICAL CENTER DR, MIDDLETOWN, OH 45005-2584
(513) 420-5186
Mailing address
1 MEDICAL CENTER DR, MIDDLETOWN, OH 45005-2584
(513) 420-5186
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
18620
OH
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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