Individual
STACEY MARIE TALARICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
110 KILDAIRE PARK DR, CARY, NC 27518-8161
(919) 235-6505
(919) 235-6536
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(877) 498-4490
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
218710
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
5005819
NC
Other
Enumeration date
10/23/2012
Last updated
12/08/2023
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