Individual
STACEY TWIGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4995 BRADENTON AVE STE 130, DUBLIN, OH 43017-3551
(614) 580-6917
Mailing address
4995 BRADENTON AVE STE 130, DUBLIN, OH 43017-3551
(614) 580-6917
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1450509
OH
163W00000X
Registered Nurse
472924
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0032697
OH
Other
Enumeration date
03/27/2018
Last updated
08/05/2024
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