Individual
MRS. STACEY LEIGH COON-WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
30 HARRISON ST STE 400, JOHNSON CITY, NY 13790-2176
(607) 763-8008
(607) 763-8019
Mailing address
33 LEWIS RD, 2ND FL, BINGHAMTON, NY 13905
(607) 770-0025
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
310143
NY
363L00000X
Nurse Practitioner
SP014441
PA
Other
Enumeration date
11/10/2014
Last updated
01/14/2021
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