Search › North Carolina › 374U00000X
Stacy Street
NPI 1093114837 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2401 Larkspur Drive
Greensboro, NC 27405 - Phone
- (336) 212-2730
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Also registered as
- 372600000X
376K00000X - Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina