Individual
CLAIR LEA MCSTACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M
Contact information
Practice address
600 BEDFORD AVE, BEDFORD, VA 24523-1966
(540) 586-7952
(540) 586-7950
Mailing address
600 BEDFORD AVE, BEDFORD, VA 24523-1966
(540) 586-7952
(540) 586-7950
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0001163577
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010143187
—
VA
05
—
010166560
—
VA
Enumeration date
10/04/2005
Last updated
12/30/2010
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