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Individual

CHRISTINA STAGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
711 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3439
(859) 287-3045
(859) 578-3800
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 331-0774
(859) 578-3800

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007343
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0064404
OH
05
7100199720
KY
Enumeration date
03/15/2012
Last updated
05/19/2022
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