Prudich, Stacey Kathryn
Prudich, Stacey Kathryn is an individual health care provider with primary practice located at 3000 Rogers Rd Ste 210 , Wake Forest NC 27587-5745. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Prudich, Stacey Kathryn can be contacted via phone (919) 385-2120.Contact Information
Primary practice address
3000 Rogers Rd Ste 210
Wake Forest NC 27587-5745
Phone: (919) 385-2120
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | PRUD-6TDQL | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 5017148 | North Carolina |
Profile Details
| NPI number | 1831806017 |
|---|---|
| LBN Legal business name | Prudich, Stacey Kathryn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2022 |
| Last updated | Oct 29th, 2022 - about 2 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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