Ross Cesaire, Stacie Nia
Ross Cesaire, Stacie Nia is an individual health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901-3224. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ross Cesaire, Stacie Nia can be contacted via phone (321) 434-1771.Contact Information
Primary practice address
1350 Hickory St
Melbourne FL 32901-3224
Phone: (321) 434-1771
Fax: (321) 434-1775
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN9324115 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | APRN9324115 | Florida |
Profile Details
NPI number | 1821578212 |
---|---|
LBN Legal business name | Ross Cesaire, Stacie Nia |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 15th, 2018 |
Last updated | Dec 28th, 2023 - about last year |
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 | 1821578212 | NPPES |
Florida | MEDICAID | 120364800 | |
Florida | Other | K2175 |
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