Individual
MS. STACEY ELIZABETH WALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM
Contact information
Practice address
4025 NW 9TH CT, GAINESVILLE, FL 32605-4713
(352) 318-1693
Mailing address
4025 NW 9TH CT, GAINESVILLE, FL 32605-4713
(352) 318-1693
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW184
FL
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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