Spears, Stacy

Spears, Stacy is an individual health care provider with primary practice located at 23 E Ross Ave , Sapulpa OK 74066-6423. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Spears, Stacy can be contacted via phone (918) 227-2016.

Contact Information

Primary practice address
23 E Ross Ave Sapulpa OK 74066-6423
Phone: (918) 227-2016
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R0059224 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R0059224 Oklahoma

Profile Details

NPI number 1770572091
LBN Legal business name Spears, Stacy
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Mar 12th, 2024 - about 6 months 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 1770572091 NPPES
Oklahoma MEDICAID 200045970A

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