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Individual

STACY ELLEN VERMILLION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
3 BYRKIT DR, WILLIAMSPORT, MD 21795-1171
(301) 582-1150
(301) 582-0905
Mailing address
138 ACHILLA TER, MARTINSBURG, WV 25404-3464
(240) 344-2828

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R243153
MD
363LF0000X
Family Nurse Practitioner
Primary
AC006956
MD

Other

Enumeration date
08/20/2024
Last updated
12/04/2024
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