Individual
STEPHANIE KATHRYN HISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, AGCNS-BC
Contact information
Practice address
2222 PHILADELPHIA DR, DAYTON, OH 45406-1813
(937) 734-5353
Mailing address
615 N MAPLE ST, EATON, OH 45320-1835
(937) 336-7114
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
APRN.CNS.019351
OH
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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