Individual
STACIE LYNN ALCORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
113 CLIFFTON DR, PIQUA, OH 45356-4411
(937) 216-0904
Mailing address
113 CLIFFTON DR, PIQUA, OH 45356-4411
(937) 216-0904
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
RN255445
OH
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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