O'Brien, Stacy Marie

O'Brien, Stacy Marie is an individual health care provider with primary practice located at 2780 Cleveland Ave Ste 809 , Fort Myers FL 33901-5817. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. O'Brien, Stacy Marie can be contacted via phone (239) 343-9680.

Contact Information

Primary practice address
2780 Cleveland Ave Ste 809 Fort Myers FL 33901-5817
Phone: (239) 343-9680
Fax: (239) 343-9685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X APRN9278693 Florida

Profile Details

NPI number 1538585419
LBN Legal business name O'Brien, Stacy Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2014
Last updated Mar 29th, 2021 - about 4 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 1538585419 NPPES
Florida MEDICAID 010953400

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