Stacy Wallner, REGISTERED NURSE

NPI #1104256643 in Brunswick, Ohio

Provider Information

NPI Number: 1104256643
Entity Type: Individual
Name: Stacy Wallner, REGISTERED NURSE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Credential: REGISTERED NURSE
Enumeration Date: Nov 20, 2013
Last Updated: Aug 30, 2023

Practice Location

Address: 4710 HICKORY RIDGE AVE.
City: Brunswick
State: Ohio
ZIP Code: 44212-0000
Phone: (330) 220-5989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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