Patterson, Stacie Lyn

Patterson, Stacie Lyn is an individual health care provider with primary practice located at 13677 W. Mc Dowell Road 201, Goodyear AZ 85395. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Patterson, Stacie Lyn can be contacted via phone (623) 882-1926.

Contact Information

Primary practice address
13677 W. Mc Dowell Road 201 Goodyear AZ 85395
Phone: (623) 882-1926
Fax: (623) 882-1709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601004376 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X AZ 5154 Arizona

Profile Details

NPI number 1053430876
LBN Legal business name Patterson, Stacie Lyn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 2nd, 2014 - about 10 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 1053430876 NPPES
Michigan Other 0F37698 BCBSM

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