Individual
MRS. STACY MACKELPRANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
167 N. MAIN ST., TUBA CITY, AZ 86045-0600
(928) 283-2501
Mailing address
4353 E BLUE HERON LN, CAMP VERDE, AZ 86322-6054
(928) 567-6772
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN079684
AZ
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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