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
Fax: (208) 322-5379
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497716476 NPPES
Idaho MEDICAID 806663602

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