Stacey, Amy Marie

Stacey, Amy Marie is an individual health care provider with primary practice located at 142 Glenway St , Madison WI 53705-5208. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Stacey, Amy Marie can be contacted via phone (608) 852-4909.

Contact Information

Primary practice address
142 Glenway St Madison WI 53705-5208
Phone: (608) 852-4909
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4393 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 4393 Wisconsin

Profile Details

NPI number 1841579083
LBN Legal business name Stacey, Amy Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2011
Last updated Sep 26th, 2023 - 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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