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Individual

MRS. MACY LERIN STAPLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BC-PNP

Contact information

Practice address
2101 EXECUTIVE DR STE 160, HAMPTON, VA 23666-3089
(757) 838-8166
Mailing address
2101 EXECUTIVE DR STE 160, HAMPTON, VA 23666-3089
(757) 838-8166
(757) 838-8233

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024171695
VA

Other

Enumeration date
09/26/2011
Last updated
07/03/2020
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