Green, Stacy Renee

Green, Stacy Renee is an individual health care provider with primary practice located at 1100 N 4Th St , Leavenworth KS 66048-1572. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Green, Stacy Renee can be contacted via phone (913) 297-9945.

Contact Information

Primary practice address
1100 N 4Th St Leavenworth KS 66048-1572
Phone: (913) 297-9945
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2021029668 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5380729022 Kansas

Profile Details

NPI number 1437818135
LBN Legal business name Green, Stacy Renee
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2021
Last updated Dec 10th, 2021 - about 3 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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