Fairley, Stacy Marie

Fairley, Stacy Marie is an sole proprietor health care provider with primary practice located at 250 Hospital Pkwy , San Jose CA 95119-1103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Fairley, Stacy Marie can be contacted via phone (408) 972-7000.

Contact Information

Primary practice address
250 Hospital Pkwy San Jose CA 95119-1103
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 21687 California

Profile Details

NPI number 1255673703
LBN Legal business name Fairley, Stacy Marie
Credentials ACNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2013
Last updated Mar 22nd, 2013 - about 11 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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