Nelson, Stacey Lynn

Nelson, Stacey Lynn is an individual health care provider with primary practice located at 77 W Forest Ave Ste 117 , Flagstaff AZ 86001-1482. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Nelson, Stacey Lynn can be contacted via phone (928) 773-2505.

Contact Information

Primary practice address
77 W Forest Ave Ste 117 Flagstaff AZ 86001-1482
Phone: (928) 773-2505
Fax: (928) 773-2504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 078032 Arizona

Profile Details

NPI number 1912187329
LBN Legal business name Nelson, Stacey Lynn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2007
Last updated Sep 24th, 2018 - about 6 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 1912187329 NPPES
Arizona MEDICAID 295431

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