Individual
STACEY WILLGING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4850 SMITH RD STE 250, CINCINNATI, OH 45212-2796
(513) 653-3024
Mailing address
7863 STRAWBERRY HILL LN, MAINEVILLE, OH 45039-8991
(513) 646-6438
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG08220125
OH
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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