Individual
STACEY LYNN LAROCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
1235 PROVIDENCE BLVD # R53, DELTONA, FL 32725-7363
(386) 222-3978
Mailing address
1235 PROVIDENCE BLVD # R53, DELTONA, FL 32725-7363
(386) 222-3978
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11046514
FL
Other
Enumeration date
11/20/2024
Last updated
06/26/2025
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