Ali, Stacy
Ali, Stacy is an individual health care provider with primary practice located at 5555 Zuni Rd Se Ste 11 , Albuquerque NM 87108-2935. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ali, Stacy can be contacted via phone (505) 777-3002.Contact Information
Primary practice address
5555 Zuni Rd Se Ste 11
Albuquerque NM 87108-2935
Phone: (505) 777-3002
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP3006906 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 67604 | New Mexico |
Profile Details
| NPI number | 1255415451 |
|---|---|
| LBN Legal business name | Ali, Stacy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Dec 27th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255415451 | NPPES |
| New Mexico | MEDICAID | 44609736 | |
| New Mexico | MEDICAID | 936057 |
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