Stacy, Cheryl Anne

Stacy, Cheryl Anne is an individual health care provider with primary practice located at 3975 Robinson Rd , Newton NC 28658-9715. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Stacy, Cheryl Anne can be contacted via phone (828) 466-0466.

Contact Information

Primary practice address
3975 Robinson Rd Newton NC 28658-9715
Phone: (828) 466-0466
Fax: (828) 466-8862
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5004828 North Carolina
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 5004828 North Carolina

Profile Details

NPI number 1093021461
LBN Legal business name Stacy, Cheryl Anne
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2010
Last updated Aug 1st, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093021461 NPPES
North Carolina MEDICAID 7004558

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