Vandyke, Stacey Alicia

Vandyke, Stacey Alicia is an individual health care provider with primary practice located at 4102 Pinion Dr , Usaf Academy CO 80840-2502. 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. Vandyke, Stacey Alicia can be contacted via phone (719) 333-5651.

Contact Information

Primary practice address
4102 Pinion Dr Usaf Academy CO 80840-2502
Phone: (719) 333-5651
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 530337 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 9342364 Florida

Profile Details

NPI number 1841340544
LBN Legal business name Vandyke, Stacey Alicia
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Apr 8th, 2013 - about 12 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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