person
Stacy T Sullenberger, PNP
Pediatric Nurse Practitioner in Springboro, Ohio
NPI 1023355484

Stacy T Sullenberger is a Pediatric Nurse Practitioner based in Dayton, OH and is specialized in Pediatrics. Stacy T Sullenberger practices in Springboro, OH and has the professional credentials of PNP. The NPI Number for Stacy T Sullenberger is 1023355484 and holds a License No. APRN.CNP.14148 (Ohio).

The current practice location address for Stacy T Sullenberger is 662 N Main St, Springboro, OH and can be reached out via phone at 937-641-5066 and via fax at 937-550-9797.

Location: 662 N Main St, Springboro, OH, 45404-1815
person
Provider Profile Details
NPI Number
1023355484
Provider Name
Stacy T Sullenberger
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
662 N Main St, Springboro, OH, 45404-1815
Phone Number
937-641-5066
Fax Number
937-550-9797
Provider Enumeration Date
01/04/2013
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0330291 05 OH
institution
Provider Business Practice Location Address Details
Address
662 N Main St
City
State
Zip
45066-9553
Phone Number
937-641-5066
Fax Number
937-550-9797
person
Provider Business Mailing Address Details
Address
662 N Main St
City
State
Zip
45066-9553
Phone Number
937-641-5066
Fax Number
937-550-9797
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
APRN.CNP.14148 (Ohio)
Definition
Definition to come...
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