Individual provider · Type 1 NPI
Stacey Kathryn Prudich
Pediatric Nurse Practitioner · Wake Forest, NC
NPI number
1831806017
Active
Practice location
3000 Rogers Rd Ste 210
Wake Forest, NC 27587-5745
Mailing address
1501 Bloomingdale Dr
Cary, NC 27511-5955
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | PRUD-6TDQL (NC) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 5017148 (NC) |
Pediatric Nurse Practitioner: Definition to come...
5 other providers at this address
- Christian Nechyba, MDPediatrics Physician Wake Forest, NC NPI 1083624704
- Elzia Rena Broussard, MDPediatrics Physician Wake Forest, NC NPI 1376006254
- Erika Collins Cravanas, MDPediatrics Physician Wake Forest, NC NPI 1629369079
- Nicole Cameron, MDPediatrics Physician Wake Forest, NC NPI 1720239247
- Sara N. Tabrizi, MDPediatrics Physician Wake Forest, NC NPI 1164460630
Other pediatric nurse practitioner providers in Wake Forest
- Rebecca K. Dallas, CPNPPediatric Nurse Practitioner Wake Forest, NC NPI 1013311653
- Cherita Anders, CPNPPediatric Nurse Practitioner Wake Forest, NC NPI 1053769448
- Melody S. Rodgman, NPPediatric Nurse Practitioner Wake Forest, NC NPI 1174605380
- Luann F. Richardson, PNPPediatric Nurse Practitioner Wake Forest, NC NPI 1336186931
- Jane Linda Nathan, CPNP-PCPediatric Nurse Practitioner Wake Forest, NC NPI 1346994084
- Katherine Davis Quinn, CPNPPediatric Nurse Practitioner Wake Forest, NC NPI 1457003592
- Catherine Seward Allison, CPNPPediatric Nurse Practitioner Wake Forest, NC NPI 1497910384
- Meredith Ross Kleiber, PNPPediatric Nurse Practitioner Wake Forest, NC NPI 1598911703
About NPI 1831806017
Stacey Kathryn Prudich's National Provider Identifier is 1831806017, issued on Oct 28, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Wake Forest, NC. The record was last updated on Oct 29, 2022.