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Individual

ARIEL P STAKELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
701 MORGANTON SQUARE DR, MARYVILLE, TN 37801-4796
(865) 982-7101
(833) 908-2132
Mailing address
PO BOX 26194, BELFAST, ME 04915-2012
(865) 584-4747
(865) 381-1509

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN22890
TN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/27/2017
Last updated
12/20/2023
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