Stuart, Vickie Leann

Stuart, Vickie Leann is an individual health care provider with primary practice located at 450 N Roxbury Dr Ste 240 , Beverly Hills CA 90210-4240. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Stuart, Vickie Leann can be contacted via phone (310) 651-2040.

Contact Information

Primary practice address
450 N Roxbury Dr Ste 240 Beverly Hills CA 90210-4240
Fax: (310) 651-2042
Website:

Profile Details

NPI number 1548374341
LBN Legal business name Stuart, Vickie Leann
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Dec 28th, 2018 - about 7 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 1548374341 NPPES
Mississippi Other P00004207 RAILROAD MEDICARE
Mississippi Other 640507572UQ RAILROAD MEDICARE
Mississippi MEDICAID 00119524 RAILROAD MEDICARE

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