Individual
STACEY LYNN BYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4735 OGLETOWN STANTON RD STE 3301, NEWARK, DE 19713-7021
(302) 623-4375
Mailing address
4735 OGLETOWN STANTON RD STE 3301, NEWARK, DE 19713-7021
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
LV-0000132
DE
364SG0600X
Gerontology Clinical Nurse Specialist
LV-0000132
DE
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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