Santiago, Stacey Ann Elizabeth

Santiago, Stacey Ann Elizabeth is an individual health care provider with primary practice located at 4201 Northview Dr Ste 525, Bowie MD 20716-2604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Santiago, Stacey Ann Elizabeth can be contacted via phone (256) 508-9034.

Contact Information

Primary practice address
4201 Northview Dr Ste 525 Bowie MD 20716-2604
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9224482 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2010016142 Maryland

Profile Details

NPI number 1083992333
LBN Legal business name Santiago, Stacey Ann Elizabeth
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2011
Last updated Jun 29th, 2020 - about 4 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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