Individual
LISA STUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
PO BOX 75, GLEN SPEY, NY 12737-0075
(845) 775-9986
Mailing address
PO BOX 75, GLEN SPEY, NY 12737-0075
(845) 775-9986
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
632047
NY
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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