Summa, Stacy I

Summa, Stacy I is an individual health care provider with primary practice located at 4424 E Flamingo Ave Ste 110 , Nampa ID 83687-9291. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Summa, Stacy I can be contacted via phone (208) 302-3200.

Contact Information

Primary practice address
4424 E Flamingo Ave Ste 110 Nampa ID 83687-9291
Phone: (208) 302-3200
Fax: (208) 302-3255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16583 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-1787 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-1787 Idaho

Profile Details

NPI number 1295722478
LBN Legal business name Summa, Stacy I
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Feb 21st, 2024 - about 10 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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