MS. Stacey Anne Bulfinch Idica, NP
NPI #1326381294 in Aiken, South Carolina
Provider Information
- NPI Number
- 1326381294
- Entity Type
- Individual
- Name
- MS. Stacey Anne Bulfinch Idica, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Mar 29, 2013
- Last Updated
- Apr 30, 2019
Practice Location
- Address
- 216 EDGEFIELD AVE NW
- City
- Aiken
- State
- South Carolina
- ZIP Code
- 29801-3910
- Phone
- (803) 648-4224
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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