STACI GROTHUES

Nurse Practitioner - Family

Active Individual
NPI: 1609455856

Practice Address

697 LOUISIANA RD
Dyess Afb, TX 79607

Phone: (325) 696-4677

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes F06212550 (FL)

Frequently Asked Questions

NPI 1609455856 is the National Provider Identifier for STACI GROTHUES, a Nurse Practitioner - Family provider located in Dyess Afb, TX. This NPI was enumerated on April 5, 2021.
STACI GROTHUES practices at 697 LOUISIANA RD, Dyess Afb, TX 79607.

Quick Facts

NPI
1609455856
Type
Individual
Enumerated
Apr 5, 2021
Last Updated
Aug 19, 2024

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