Stacey Kathryn Prudich
Stacey Kathryn Prudich is a Pediatric Nurse Practitioner in Wake Forest, North Carolina. Licensed in North Carolina. Registered with an NPI since 2022.
- Licensed in
- NC
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
3000 Rogers Rd Ste 210Wake Forest, NC 27587-5745
Phone: (919) 385-2120
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Nurse Practitioner (primary) | Taxonomy 363LP0200X · Licence 5017148 (NC) |
|---|---|
| Pediatric Nurse Practitioner | Taxonomy 363LP0200X · Licence PRUD-6TDQL (NC) |
Record details
| NPI number | 1831806017 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 28, 2022 |
| Last updated in NPPES | October 29, 2022 |
| Certification date | October 29, 2022 |
| Mailing address | 1501 Bloomingdale Dr, Cary, NC 27511-5955 |
Other providers in Wake Forest
-
Kristen S Camplin, PNP
11130 Capital Blvd, Wake Forest, NC 27587-4513 · (919) 488-0015
-
Rebecca K Dallas, CPNP
1655 Wake Dr Ste 101, Wake Forest, NC 27587-4746 · (919) 556-4779
-
Meredith Ross Kleiber, PNP
1655 Wake Dr Ste 101, Wake Forest, NC 27587-4745 · (919) 556-4779
-
Jane Linda Nathan, CPNP-PC
1655 Wake Dr Unit 101, Wake Forest, NC 27587-4746 · (919) 556-4779
-
Katherine Davis Quinn, CPNP
1030 Siena Dr # 205, Wake Forest, NC 27587-2789 · (919) 235-6511
-
Luann F Richardson, PNP
1655 Wake Dr Ste 101, Wake Forest, NC 27587-4746 · (919) 556-4779
-
Melody S Rodgman, NP
1655 Wake Dr Unit 101, Wake Forest, NC 27587-4746 · (919) 556-4779
-
Linzy Silberg
10580 Ligon Mill Rd, Wake Forest, NC 27587-6090 · (919) 263-9592