Stace, Kelly Ann
Stace, Kelly Ann is an individual health care provider with primary practice located at 100 N Mario Capecchi Dr , Salt Lake City UT 84113-1103. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Stace, Kelly Ann can be contacted via phone (801) 662-1000.Contact Information
Primary practice address
100 N Mario Capecchi Dr
Salt Lake City UT 84113-1103
Phone: (801) 662-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Neonatal Intensive Care | 163WN0002X | 1015298 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | 13784106-4405 | Utah |
Profile Details
| NPI number | 1053181453 |
|---|---|
| LBN Legal business name | Stace, Kelly Ann |
| Credentials | DNP, APRN, NNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2024 |
| Last updated | May 14th, 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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