Individual
STACIE RENEE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4414 LAKE BOONE TRL STE 311, RALEIGH, NC 27607
(919) 351-8253
Mailing address
4414 LAKE BOONE TRL STE 311, RALEIGH, NC 27607-7514
(919) 351-8253
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
617
NC
Other
Enumeration date
09/06/2016
Last updated
03/31/2023
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