Individual
MRS. STACEY JO WARTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
324 CHISELED STONE RD, ELDERSBURG, MD 21784-8655
(410) 491-0337
Mailing address
324 CHISELED STONE RD, ELDERSBURG, MD 21784-8655
(410) 491-0337
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R086989
MD
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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