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

Address
114 E SOUTH HILLS DR
ZIP Code
64468-2659
Phone
(660) 562-4304

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Nurse Practitioner - FamilyFamily

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