Beaver, Stacie Michelle

Beaver, Stacie Michelle is an individual health care provider with primary practice located at 1000 Norland Ave , Chambersburg PA 17201-4229. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Beaver, Stacie Michelle can be contacted via phone (717) 267-6363.

Contact Information

Primary practice address
1000 Norland Ave Chambersburg PA 17201-4229
Phone: (717) 267-6363
Fax: (717) 217-6937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R139236 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X SP022183 Pennsylvania

Profile Details

NPI number 1619241007
LBN Legal business name Beaver, Stacie Michelle
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2012
Last updated Apr 11th, 2023 - about 2 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 1619241007 NPPES
Pennsylvania MEDICAID 103802293
Pennsylvania Other 1619241007
Pennsylvania Other 12667440

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