Vencill, Stacy Ann
Vencill, Stacy Ann is an individual health care provider with primary practice located at 4870 Barranca Pkwy 350, Irvine CA 92604-4709. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Vencill, Stacy Ann can be contacted via phone (949) 451-6060.Contact Information
Primary practice address
4870 Barranca Pkwy 350
Irvine CA 92604-4709
Phone: (949) 451-6060
Fax: (949) 451-6070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA18107 | California |
Profile Details
| NPI number | 1629110655 |
|---|---|
| LBN Legal business name | Vencill, Stacy Ann |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Feb 3rd, 2010 - about 15 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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