Individual
MS. STACY CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
3333 BURNET AVE, MLC 3014, CINCINNATI, OH 45229-3026
(513) 636-4788
(513) 636-4283
Mailing address
MLC 5021, 3333 BURNET AVE, CINCINNATI, OH 45229-3026
(513) 636-4225
(513) 636-4283
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.019837
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3010587
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN.CNP.019837
OH
Other
Enumeration date
08/08/2016
Last updated
04/13/2020
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