Stacey E Bacon, NP-C

NPI #1003066085 in Pittsburg, Kansas

Provider Information

NPI Number
1003066085
Entity Type
Individual
Name
Stacey E Bacon, NP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NP-C
Enumeration Date
Sep 25, 2008
Last Updated
Feb 7, 2020

Practice Location

Address
1701 S BROADWAY ST
State
Kansas
ZIP Code
66762-5856
Phone
(620) 235-4452

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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