Wright, Stacey Kay
Wright, Stacey Kay is an individual health care provider with primary practice located at 5593 N Glenwood St , Garden City ID 83714. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wright, Stacey Kay can be contacted via phone (208) 322-5354.Contact Information
Primary practice address
5593 N Glenwood St
Garden City ID 83714
Phone: (208) 322-5354
Fax: (208) 322-5379
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 813271 | Nevada |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP539A | Idaho |
Profile Details
NPI number | 1497716476 |
---|---|
LBN Legal business name | Wright, Stacey Kay |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 30th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497716476 | NPPES |
Idaho | MEDICAID | 806663602 |
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