Individual provider · Type 1 NPI

Stacey L. Fawbush, FNP-C

Family Nurse Practitioner · Springfield, MO

NPI number 1104215854 Active

Practice location

1000 E Primrose St
Springfield, MO 65807-5154

Call (417) 269-9812 Map

Fax (417) 269-9853

Mailing address

PO Box 4046
Springfield, MO 65808-4046

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2014044284 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1104215854

Stacey L. Fawbush, FNP-C's National Provider Identifier is 1104215854, issued on Jan 20, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Springfield, MO. The record was last updated on Apr 3, 2019.