Individual
STACY ATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-2481
Mailing address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012457
IL
363LF0000X
Family Nurse Practitioner
62603
NM
Other
Enumeration date
01/22/2015
Last updated
05/04/2023
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