Large, Stacie Rae

Large, Stacie Rae is an individual health care provider with primary practice located at 550 Pope Ave , Fort Leavenworth KS 66027-2332. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Large, Stacie Rae can be contacted via phone (913) 684-6000.

Contact Information

Primary practice address
550 Pope Ave Fort Leavenworth KS 66027-2332
Phone: (913) 684-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 14-100760-112 Kansas

Profile Details

NPI number 1407061856
LBN Legal business name Large, Stacie Rae
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Jul 8th, 2007 - about 17 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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