MR. Ilya O Stagner, FNP-C
NPI #1083376750 in Maryville, Missouri
Provider Information
- NPI Number
- 1083376750
- Entity Type
- Individual
- Name
- MR. Ilya O Stagner, FNP-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-C
- Enumeration Date
- Oct 11, 2021
- Last Updated
- Apr 17, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
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