Individual
DR. STACIAN NWAUKWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CRNP
Contact information
Practice address
12 BRIAN DANIEL CT, REISTERSTOWN, MD 21136-4635
(410) 413-0376
Mailing address
12 BRIAN DANIEL CT, REISTERSTOWN, MD 21136-4635
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R178638
MD
363LG0600X
Gerontology Nurse Practitioner
R178638
MD
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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