Williams, Stacey Lyn

Williams, Stacey Lyn is an individual health care provider with primary practice located at 1122 Gypsy Ln W , Towson MD 21286-1404. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Williams, Stacey Lyn can be contacted via phone (443) 243-6267.

Contact Information

Primary practice address
1122 Gypsy Ln W Towson MD 21286-1404
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R119208 Maryland

Profile Details

NPI number 1699234393
LBN Legal business name Williams, Stacey Lyn
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2019
Last updated Mar 13th, 2019 - about 6 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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