Pfenning, Stacey
Pfenning, Stacey is an individual health care provider with primary practice located at 200 S 5Th St , Bismarck ND 58504-5675. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Pfenning, Stacey can be contacted via phone (701) 222-3937.Contact Information
Primary practice address
200 S 5Th St
Bismarck ND 58504-5675
Phone: (701) 222-3937
Fax: (701) 222-8805
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R27350 | North Dakota |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R27350 | North Dakota |
Profile Details
NPI number | 1558405142 |
---|---|
LBN Legal business name | Pfenning, Stacey |
Credentials | DNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 16th, 2007 |
Last updated | Dec 23rd, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558405142 | NPPES |
North Dakota | MEDICAID | 1451286 | |
North Dakota | MEDICAID | 19750 | |
North Dakota | Other | 500028258 | |
North Dakota | Other | R27350 |
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