Individual
STACEY AVIGNONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4255 ALTAMONT PL STE 301, WHITE PLAINS, MD 20695-3082
(301) 645-1781
Mailing address
4255 ALTAMONT PL STE 301, WHITE PLAINS, MD 20695-3082
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R210076
MD
Other
Enumeration date
01/29/2022
Last updated
05/15/2022
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