Godboldt, Stacia Larose
Godboldt, Stacia Larose is an sole proprietor health care provider with primary practice located at 300 Health Park Blvd Ste 3002 , St Augustine FL 32086-3703. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Godboldt, Stacia Larose can be contacted via phone (904) 819-1500.Contact Information
Primary practice address
300 Health Park Blvd Ste 3002
St Augustine FL 32086-3703
Phone: (904) 819-1500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X |
Profile Details
NPI number | 1356040018 |
---|---|
LBN Legal business name | Godboldt, Stacia Larose |
Credentials | Certified Nurse Midwife (CNM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 1st, 2023 |
Last updated | Mar 2nd, 2023 - about last year |
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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