Cadogan, Stacey Patrice

Cadogan, Stacey Patrice is an individual health care provider with primary practice located at 2401 W University Ave , Muncie IN 47303-3428. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Cadogan, Stacey Patrice can be contacted via phone (765) 751-1449.

Contact Information

Primary practice address
2401 W University Ave Muncie IN 47303-3428
Phone: (765) 751-1449
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71004604A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 28210327A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71004604A Indiana

Profile Details

NPI number 1295177061
LBN Legal business name Cadogan, Stacey Patrice
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2013
Last updated Dec 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295177061 NPPES
Indiana MEDICAID 201187760
Indiana Other P01438113

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