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Stacy Rae Marriott, FNP-BC
Family Nurse Practitioner in Highland, Illinois
NPI 1255981528

Stacy Rae Marriott is a Family Nurse Practitioner based in Highland, IL and is specialized in Family. Stacy Rae Marriott practices in Highland, IL and has the professional credentials of FNP-BC. The NPI Number for Stacy Rae Marriott is 1255981528 and holds a License No. 209019083 (Illinois).

The current practice location address for Stacy Rae Marriott is 12860 Troxler Ave, Highland, IL and can be reached out via phone at 618-651-2810.

Location: 12860 Troxler Ave, Highland, IL, 62249-2898
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255981528
Provider Name
Stacy Rae Marriott
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
12860 Troxler Ave, Highland, IL, 62249-2898
Phone Number
618-651-2810
Fax Number
Provider Enumeration Date
09/18/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209019083 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
12860 Troxler Ave
City
Highland
State
Illinois
Zip
62249-2898
Phone Number
618-651-2810
Fax Number
person
Provider Business Mailing Address Details
Address
12860 Troxler Ave
City
Highland
State
Illinois
Zip
62249-2898
Phone Number
618-651-2810
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209019083 (Illinois)
Definition
Definition to come...
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