Mierau, Stacy D

Mierau, Stacy D is an individual health care provider with primary practice located at 921 Oak Park Blvd Ste 204 , Pismo Beach CA 93449-3400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mierau, Stacy D can be contacted via phone (805) 473-4949.

Contact Information

Primary practice address
921 Oak Park Blvd Ste 204 Pismo Beach CA 93449-3400
Phone: (805) 473-4949
Fax: (805) 473-3165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16679 California

Profile Details

NPI number 1629054895
LBN Legal business name Mierau, Stacy D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Jan 30th, 2023 - about last year

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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