Amero, Staci L

Amero, Staci L is an individual health care provider with primary practice located at 35 Albany Rd Suite C, Carbondale IL 62903-7646. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Amero, Staci L can be contacted via phone (618) 457-5111.

Contact Information

Primary practice address
35 Albany Rd Suite C Carbondale IL 62903-7646
Phone: (618) 457-5111
Fax: (618) 457-6560
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209008633 Illinois

Profile Details

NPI number 1467758375
LBN Legal business name Amero, Staci L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2011
Last updated Dec 15th, 2011 - about 14 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467758375 NPPES
Illinois Other 209008633 APN CRNA LICENSE

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