Individual
STEPHANIE M STACHURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11619 GALLANT FOX RD SE, ALBUQUERQUE, NM 87123-2289
(505) 205-7128
(505) 205-7128
Mailing address
11619 GALLANT FOX RD SE, ALBUQUERQUE, NM 87123-2289
(505) 205-7128
(505) 205-7128
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R50831
NM
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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