Individual
MICHELE STAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, NCSN
Contact information
Practice address
105 ADAIR ST, BECKLEY, WV 25801-3733
(304) 256-4500
Mailing address
105 ADAIR ST, BECKLEY, WV 25801-3733
(304) 256-4500
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
42909
WV
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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