Individual
STACEY L MOHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1671 W MAIN ST, NEWARK, OH 43055-1345
(740) 522-5437
(740) 522-9609
Mailing address
1671 W MAIN ST, NEWARK, OH 43055-1345
(740) 522-5437
(740) 522-9609
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.12838
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058821
—
OH
Enumeration date
10/25/2011
Last updated
03/19/2021
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