Underwood, Stacy

Underwood, Stacy is an individual health care provider with primary practice located at 1255 W Baseline Rd Suite B258, Mesa AZ 85202-5820. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Underwood, Stacy can be contacted via phone (480) 820-0825.

Contact Information

Primary practice address
1255 W Baseline Rd Suite B258 Mesa AZ 85202-5820
Phone: (480) 820-0825
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 074959 New York
Nursing Service Providers / Registered Nurse 163W00000X 5 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F401243-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP3830 Arizona

Profile Details

NPI number 1043325541
LBN Legal business name Underwood, Stacy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jul 9th, 2012 - about 13 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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