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Individual

MRS. ALISSA E STUEBGEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
17405 SILENT HARBOR LOOP, PFLUGERVILLE, TX 78660
(817) 657-1505
Mailing address
17405 SILENT HARBOR LOOP, PFLUGERVILLE, TX 78660-6023
(817) 657-1505

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
660991
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790042091
TX
Enumeration date
04/12/2012
Last updated
11/13/2024
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