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NPI Profile for STACY J HUCK in WAVERLY, IA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner |
| NPI # | 1689229080 |
|
| Status | Active | |
| Credentials | CPNP-PC, ARNP | |
| Entity | Individual | |
| Enumeration date | 08/03/2019 | |
| Last updated | 09/13/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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STACY J HUCK
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STACY J HUCK, CPNP-PC, ARNP