Brunquist, Stacy Lynn

Brunquist, Stacy Lynn is an individual health care provider with primary practice located at 3200 Providence Dr , Anchorage AK 99508-4615. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Brunquist, Stacy Lynn can be contacted via phone (907) 212-5006.

Contact Information

Primary practice address
3200 Providence Dr Anchorage AK 99508-4615
Phone: (907) 212-5006
Fax: (907) 212-4896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 1095 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 200950111NP NNP-PP Oregon

Profile Details

NPI number 1104059492
LBN Legal business name Brunquist, Stacy Lynn
Credentials RNC ANP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2009
Last updated May 17th, 2021 - about 3 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 1104059492 NPPES
Alaska MEDICAID 1570883

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