Individual
STACY ANN HOUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1920 LAKELAND HILLS BLVD, LAKELAND, FL 33805-2902
(863) 683-4661
Mailing address
1920 LAKELAND HILLS BLVD, LAKELAND, FL 33805-2902
(863) 683-4661
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9208624
FL
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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