Individual
HALEY SHOCKLEY STASICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6727 HIGHWAY 431 S STE L, OWENS CROSS ROADS, AL 35763-9226
(256) 564-8900
Mailing address
6727 HIGHWAY 431 S STE L, OWENS CROSS ROADS, AL 35763-9226
(256) 564-8900
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1-135674
AL
363LA2200X
Adult Health Nurse Practitioner
Primary
1-135674
AL
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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