Individual
MRS. AMY MARIE STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
USAHC BAMBERG, UNIT 27528, APO AE, NY 09139
(095) 130-0917
Mailing address
UNIT 27502 BOX 16707, APO, AE 09139
09512090490
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1394794081
KS
Other
Enumeration date
10/26/2006
Last updated
04/20/2008
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