Individual
STACIA SHRYOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1190 WAIANUENUE AVE, HILO, HI 96720-2089
(808) 932-3428
Mailing address
601 WICKFIELD DR, LOUISVILLE, KY 40245-4092
(410) 336-1381
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014932
KY
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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