Tucker, Stacy Marie

Tucker, Stacy Marie is an individual health care provider with primary practice located at 1150 Brookside Ave Ste U , Redlands CA 92373-6304. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Nursing Service Providers / Diabetes Educator. Nursing Service Providers / Diabetes Educator is her primary health care specialty. Tucker, Stacy Marie can be contacted via phone (909) 335-4131.

Contact Information

Primary practice address
1150 Brookside Ave Ste U Redlands CA 92373-6304
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 662818 California
Nursing Service Providers / Diabetes Educator 163WD0400X 662818 California

Profile Details

NPI number 1003682972
LBN Legal business name Tucker, Stacy Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2023
Last updated Nov 30th, 2023 - about 2 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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