Hopper, Stacey Michelle

Hopper, Stacey Michelle is an individual health care provider with primary practice located at 10900 W 44Th Ave Unit 200 , Wheat Ridge CO 80033-2742. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Hopper, Stacey Michelle can be contacted via phone (303) 993-1330.

Contact Information

Primary practice address
10900 W 44Th Ave Unit 200 Wheat Ridge CO 80033-2742
Phone: (303) 993-1330
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP4949 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 12199 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2429 Colorado

Profile Details

NPI number 1316291479
LBN Legal business name Hopper, Stacey Michelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2012
Last updated Jan 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316291479 NPPES
Arizona Other Z171648 PTAN
Arizona MEDICAID 829176 PTAN

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