Individual provider · Type 1 NPI
Stacy Marie Tucker, RN
Diabetes Educator Registered Nurse · Redlands, CA
NPI number
1003682972
Active
Practice location
1150 Brookside Ave Ste U
Redlands, CA 92373-6304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 662818 (CA) |
| Diabetes Educator Registered Nurse Primary | 163WD0400X | 662818 (CA) |
Diabetes Educator Registered Nurse: Definition to come...
Another provider at this address
About NPI 1003682972
Stacy Marie Tucker, RN's National Provider Identifier is 1003682972, issued on Nov 30, 2023. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Redlands, CA. The record was last updated on Nov 30, 2023.