Livingston, Staci

Livingston, Staci is an individual health care provider with primary practice located at N3507 Country Rd M None, West Salem WI 54669. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Livingston, Staci can be contacted via phone (262) 623-0304.

Contact Information

Primary practice address
N3507 Country Rd M None West Salem WI 54669
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11972-33 Wisconsin

Profile Details

NPI number 1548999063
LBN Legal business name Livingston, Staci
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2022
Last updated Jun 9th, 2022 - 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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