Stacey Kathryn Prudich
NPI #1831806017 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1831806017
- Entity Type
- Individual
- Name
- Stacey Kathryn Prudich
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Enumeration Date
- Oct 28, 2022
- Last Updated
- Oct 29, 2022
Practice Location
- Address
- 3000 ROGERS RD STE 210
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-5745
- Phone
- (919) 385-2120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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