Todd, Stacey

Todd, Stacey is an individual health care provider with primary practice located at 801 5Th St , Sioux City IA 51101-1394. 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. Todd, Stacey can be contacted via phone (712) 279-2505.

Contact Information

Primary practice address
801 5Th St Sioux City IA 51101-1394
Phone: (712) 279-2505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 098888 Iowa

Profile Details

NPI number 1326040163
LBN Legal business name Todd, Stacey
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Apr 29th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326040163 NPPES
Iowa MEDICAID 0429290
Iowa Other 36137

Popular Providers