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Contact Information

STACEY A BHALLA, CNM
991 W HUDSON BLVD
GASTONIA, NC28052-6430
 Phone: 704-853-5005
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for STACEY A BHALLA · (Female)

NPI Number 1306942891
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 09/15/2006
Last updated 07/07/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 273
  • NC Medicaid 7002159
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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