Anderson, Stacy

Anderson, Stacy is an individual health care provider with primary practice located at 13123 E 16Th Ave , Aurora CO 80045-7106. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Anderson, Stacy can be contacted via phone (720) 777-1234.

Contact Information

Primary practice address
13123 E 16Th Ave Aurora CO 80045-7106
Phone: (720) 777-1234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 129811 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4754 Colorado

Profile Details

NPI number 1790931319
LBN Legal business name Anderson, Stacy
Credentials PNP, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2008
Last updated Feb 1st, 2013 - about 11 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 1790931319 NPPES
Colorado MEDICAID 20208715

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