Individual provider · Type 1 NPI
Stacey C. Bohm, AGACNP-BC
Acute Care Nurse Practitioner · Statesville, NC
NPI number
1508484031
Active
Practice location
1661 Davie Ave
Statesville, NC 28677-3519
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 0024179203 (VA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 5013293 (NC) |
Acute Care Nurse Practitioner: Definition to come...
Another provider at this address
Other acute care nurse practitioner providers in Statesville
About NPI 1508484031
Stacey C. Bohm, AGACNP-BC's National Provider Identifier is 1508484031, issued on Jul 10, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Statesville, NC. The record was last updated on Aug 26, 2021.