Individual
STACEY RENEE WARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34617 AL HIGHWAY 75, FYFFE, AL 35971-3488
(256) 623-5242
(256) 623-5243
Mailing address
1500 1ST AVE N UNIT 3, BIRMINGHAM, AL 35203-1866
(205) 644-8256
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-102742
AL
Other
Enumeration date
05/04/2020
Last updated
07/09/2024
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