Wilson, Stacy

Wilson, Stacy is an sole proprietor health care provider with primary practice located at 333 Tamiami Trl S Ste 101 , Venice FL 34285-2425. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Wilson, Stacy can be contacted via phone (808) 979-6875.

Contact Information

Primary practice address
333 Tamiami Trl S Ste 101 Venice FL 34285-2425
Phone: (808) 979-6875
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X RN9431499 Florida
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN9431499 Florida
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN-2822 Hawaii

Profile Details

NPI number 1194215244
LBN Legal business name Wilson, Stacy
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2018
Last updated Oct 14th, 2021 - about 4 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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