Gregory, Stacey Lyn
Gregory, Stacey Lyn is an individual health care provider with primary practice located at 1718 E Kessler Blvd , Longview WA 98632-1842. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gregory, Stacey Lyn can be contacted via phone (360) 747-5800.Contact Information
Primary practice address
1718 E Kessler Blvd
Longview WA 98632-1842
Phone: (360) 747-5800
Fax: (360) 575-3846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP61058632 | Washington |
Profile Details
| NPI number | 1649531112 |
|---|---|
| LBN Legal business name | Gregory, Stacey Lyn |
| Credentials | ARNP FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2012 |
| Last updated | Mar 23rd, 2022 - about 2 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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