Broaddus, Stacy Shelton
Broaddus, Stacy Shelton is an sole proprietor health care provider with primary practice located at 4801 Alberta Ave , El Paso TX 79905-2707. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Broaddus, Stacy Shelton can be contacted via phone (915) 545-6490.Contact Information
Primary practice address
4801 Alberta Ave
El Paso TX 79905-2707
Phone: (915) 545-6490
Fax: (915) 783-6228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 5301741 | Texas |
Profile Details
| NPI number | 1215215223 |
|---|---|
| LBN Legal business name | Broaddus, Stacy Shelton |
| Credentials | NP, CNM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2011 |
| Last updated | Jul 25th, 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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