Scott, Staci Suzanne
Scott, Staci Suzanne is an sole proprietor health care provider with primary practice located at 450 Nw Gilman Blvd Ste 105 , Issaquah WA 98027-2483. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Scott, Staci Suzanne can be contacted via phone (425) 651-4242.Contact Information
Primary practice address
450 Nw Gilman Blvd Ste 105
Issaquah WA 98027-2483
Phone: (425) 651-4242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 209.006850 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP60081924 | Washington |
Profile Details
| NPI number | 1285818369 |
|---|---|
| LBN Legal business name | Scott, Staci Suzanne |
| Credentials | ARNP, CPNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 24th, 2007 |
| Last updated | Jun 17th, 2024 - 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.
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