Sams, Stacey M

Sams, Stacey M is an individual health care provider with primary practice located at 1201 River Valley Blvd , Lancaster OH 43130-1653. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Sams, Stacey M can be contacted via phone (740) 687-2273.

Contact Information

Primary practice address
1201 River Valley Blvd Lancaster OH 43130-1653
Phone: (740) 687-2273
Fax: (740) 687-9059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X LE-00024531 Ohio

Profile Details

NPI number 1619459641
LBN Legal business name Sams, Stacey M
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2018
Last updated Sep 6th, 2018 - about 7 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 1619459641 NPPES
Ohio Other LE-00024531 CNP LICENSE OHIO

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