STACY TAVENNER
Nurse Practitioner
Active
Individual
NPI: 1710535091
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | RN212253 (GA) |
| Nurse Practitioner - Adult Health | 363LA2200X | No | RN212253 (GA) |
Frequently Asked Questions
NPI 1710535091 is the National Provider Identifier for STACY TAVENNER, a Nurse Practitioner provider located in Henrico, VA. This NPI was enumerated on August 29, 2019.
STACY TAVENNER practices at 3001 HUNGARY SPRING RD STE C, Henrico, VA 23228.
Quick Facts
- NPI
- 1710535091
- Type
- Individual
- Enumerated
- Aug 29, 2019
- Last Updated
- Nov 15, 2022
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