Individual
STACIE LYNN MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3333 BURNET AVE., ML 11013, CINCINNATI, OH 45229-3039
(513) 636-1422
Mailing address
3333 BURNET AVE., ML 11013, CINCINNATI, OH 45229-3039
(513) 636-1422
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA.07096-NP
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
COA.07096-NP
OH
Other
Enumeration date
03/27/2007
Last updated
02/03/2015
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