Stacy Wisdom
Technician · Festus, MO
NPI number
1194297416
Practice location
227 Main StFestus, MO 63028-1952
- Phone
- (636) 931-2700
NPI record
- NPI
- 1194297416
- Entity type
- Individual (Type 1)
- Enumeration date
- December 27, 2018
- Last updated
- December 27, 2018
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician Primary | 374700000X |
— | — |
About Stacy Wisdom
Stacy Wisdom is a healthcare provider registered in the NPI registry with the primary taxonomy Technician (code 374700000X). The practice location is 227 Main St, Festus, MO 63028-1952. The NPI number 1194297416 was assigned on December 27, 2018 and the record was last updated on December 27, 2018.
Frequently asked questions
What is the NPI number of Stacy Wisdom?
The NPI number is 1194297416.
What is the phone number of Stacy Wisdom?
The phone number listed for the practice location is (636) 931-2700.
Where is Stacy Wisdom located?
227 Main St, Festus, MO 63028-1952.
What is the taxonomy code for Stacy Wisdom?
The primary taxonomy code is 374700000X – Technician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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