Henderson, Stacie
Henderson, Stacie is an individual health care provider with primary practice located at 972 N 600 E , Spanish Fork UT 84660-1306. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Henderson, Stacie can be contacted via phone (801) 465-4896.Contact Information
Primary practice address
972 N 600 E
Spanish Fork UT 84660-1306
Phone: (801) 465-4896
Fax: (801) 465-3267
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Utah | |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 13182462-1206 | Utah |
Profile Details
| NPI number | 1982288486 |
|---|---|
| LBN Legal business name | Henderson, Stacie |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2021 |
| Last updated | Mar 9th, 2023 - 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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