NPI Profile for STACIE MCDONOUGH in MORRISTOWN, NJ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neonatal |
364SN0000X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1255826723 |
|
| Status | Active | |
| Credentials | CRNP (Certified Registered Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 06/27/2018 | |
| Last updated | 06/27/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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STACIE MCDONOUGH
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