Irwin, Stacy Ann

Irwin, Stacy Ann is an individual health care provider with primary practice located at 833 Chestnut Street East, Suite 300 , Philadelphia PA 19107-4405. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Irwin, Stacy Ann can be contacted via phone (215) 861-8800.

Contact Information

Primary practice address
833 Chestnut Street East, Suite 300 Philadelphia PA 19107-4405
Phone: (215) 861-8800
Fax: (215) 861-8815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN532602 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN532602 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X SP008417 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP008417 Pennsylvania

Profile Details

NPI number 1811075070
LBN Legal business name Irwin, Stacy Ann
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Aug 30th, 2011 - about 15 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 1811075070 NPPES
New Jersey MEDICAID 61018
New Jersey MEDICAID 4071964

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