Individual
STACY WALSH-POUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-1544
(301) 295-4775
Mailing address
8901 ROCKVILLE PIKE CARDIOLOGY CLINIC, BETHESDA, MD 20889-0001
(301) 295-4775
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R135036
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
NP135056
MD
363LA2200X
Adult Health Nurse Practitioner
R135056
MD
Other
Enumeration date
05/23/2007
Last updated
04/17/2024
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