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
Phone: (408) 972-7000
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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