Individual
STACY JOAN SHIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
PO BOX 167, LEWES, DE 19958-0167
(717) 226-9434
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN325475L
PA
163WM0102X
Maternal Newborn Registered Nurse
Primary
L-1-0049419
DE
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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