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Individual

ANN STAUTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2900 N INTERSTATE 35 STE 118, DENTON, TX 76201-5143
(940) 380-8100
(940) 380-8112
Mailing address
2900 N INTERSTATE 35 STE 118, DENTON, TX 76201-5143
(940) 380-8100
(940) 380-8112

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
779965
TX

Other

Enumeration date
09/17/2015
Last updated
11/05/2015
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