Smalley, Stacy M
Smalley, Stacy M is an individual health care provider with primary practice located at 258 High Ave , Nyack NY 10960-2407. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Other Service Providers / Midwife is her primary health care specialty. Smalley, Stacy M can be contacted via phone (845) 353-1441.Contact Information
Primary practice address
258 High Ave
Nyack NY 10960-2407
Phone: (845) 353-1441
Fax: (845) 353-1987
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Midwife | 176B00000X | F001316-1 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | LNM000261 | Connecticut |
Other Service Providers / Midwife | 176B00000X | M002126 | Arkansas |
Profile Details
NPI number | 1619909009 |
---|---|
LBN Legal business name | Smalley, Stacy M |
Credentials | CNM MSN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2006 |
Last updated | Sep 13th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619909009 | NPPES |
Other | 26100 | CONNECTICARE | |
Other | 40LNM0261CT05 | CONNECTICARE | |
Other | P3644739 | CONNECTICARE | |
Other | 060967790 | CONNECTICARE |
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