Individual
STACEY LEE MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(928) 855-8185
Mailing address
725 OAK RIDGE DR, PLYMOUTH, WI 53073-4039
(920) 207-8415
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10141-33
WI
Other
Enumeration date
09/10/2020
Last updated
11/22/2024
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