Stacy Vienhage, PA-C

NPI 1972693638 · on the registry since 2006

Practice

Address: 3808 S. Greystone Ct.
Springfield, MO 65804
Phone: (417) 889-3332
Fax: (417) 881-1410
Organisation at this address: Lesley Hawley Md Llc
Jenifer Insley Md Llc
Admiral Dermatology Llc
Raffaele Pennella Md Llc
Ozarks Dermatology Specialists, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-12-16

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 Missouri