Andersen, Stacy

Andersen, Stacy is an individual health care provider with primary practice located at 200 Scenery Dr , State College PA 16801-7974. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Andersen, Stacy can be contacted via phone (814) 231-4560.

Contact Information

Primary practice address
200 Scenery Dr State College PA 16801-7974
Phone: (814) 231-4560
Fax: (814) 231-6246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MT188399 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MT188399 Pennsylvania

Profile Details

NPI number 1619183415
LBN Legal business name Andersen, Stacy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Aug 10th, 2020 - about 4 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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