Individual
STACY POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
611 FOREST AVE, MAYSVILLE, KY 41056-1411
(606) 564-4016
Mailing address
611 FOREST AVE, MAYSVILLE, KY 41056-1411
(606) 564-4016
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
1055688
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2010006844
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30608012
—
KY
Enumeration date
02/08/2007
Last updated
04/12/2012
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