Evans, Stacey

Evans, Stacey is an individual health care provider with primary practice located at 625 5Th St , Santa Rosa CA 95404-4428. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Community Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Evans, Stacey can be contacted via phone (707) 565-4438.

Contact Information

Primary practice address
625 5Th St Santa Rosa CA 95404-4428
Phone: (707) 565-4438
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 569222 California
Nursing Service Providers / Community Health 163WC1500X 68441 California

Profile Details

NPI number 1780745083
LBN Legal business name Evans, Stacey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jul 1st, 2014 - about 10 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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