Search › North Carolina › 235Z00000X
Stacey Tillett
NPI 1013281971 · on the registry since 2012 · sole proprietor
Practice
- Address
- 4012 Poor Ridge Rd
Kitty Hawk, NC 27949 - Phone
- (252) 493-2595
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 390200000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-03-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina