Individual
SHIRLEY STAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ONP
Contact information
Practice address
55 PALMER AVENUE, LAWRENCE HOSPITAL CENTER, BRONXVILLE, NY 10708-3491
(914) 787-4115
Mailing address
55 PALMER AVENUE, LAWRENCE HOSPITAL CENTER, BRONXVILLE, NY 10708-3491
(914) 787-4115
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
480613-1
NY
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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