Individual
STEPHANIE WILLOUGHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2001 5TH AVE, SUITE 110, TROY, NY 12180-3482
(386) 236-3200
(386) 236-3161
Mailing address
2001 5TH AVE, TROY, NY 12180-3482
(386) 236-3200
(386) 236-3161
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401935
NY
Other
Enumeration date
07/18/2011
Last updated
10/27/2015
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