Larson, Stacey Inez

Larson, Stacey Inez is an individual health care provider with primary practice located at 205 Parker St , Boscobel WI 53805-1642. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Larson, Stacey Inez can be contacted via phone (608) 375-4112.

Contact Information

Primary practice address
205 Parker St Boscobel WI 53805-1642
Phone: (608) 375-4112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10996 Wisconsin

Profile Details

NPI number 1427629492
LBN Legal business name Larson, Stacey Inez
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2021
Last updated Jul 9th, 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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