Individual
MRS. STACY ALLISON MEUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ANP-C
Contact information
Practice address
1601 MAIN ST, SUITE 401, RICHMOND, TX 77469-3247
(281) 342-9530
(281) 342-9564
Mailing address
4919 BRAZOS LAKES DR, RICHMOND, TX 77469-1160
(281) 937-1019
(281) 342-9564
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
677668
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
677668
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0677668
STATE OF TEXAS LICENSE
TX
Enumeration date
10/31/2006
Last updated
03/11/2015
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