Individual
MRS. STACEY LYNN DORN
Active
Individual
MRS. STACEY LYNN DORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
955
NC
367A00000X
Advanced Practice Midwife
Primary
955
NC
Other
Enumeration date
12/04/2024
Last updated
03/11/2025
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