Yantis, Stacey S
Yantis, Stacey S is an individual health care provider with primary practice located at 142 Wallace Ave Ste 201 , Downingtown PA 19335. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Yantis, Stacey S can be contacted via phone (610) 873-2700.Contact Information
Primary practice address
142 Wallace Ave Ste 201
Downingtown PA 19335
Phone: (610) 873-2700
Fax: (610) 594-2625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP012788 | Pennsylvania |
Profile Details
| NPI number | 1750623500 |
|---|---|
| LBN Legal business name | Yantis, Stacey S |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2013 |
| Last updated | May 24th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750623500 | NPPES |
| Pennsylvania | MEDICAID | 1031801480001 |
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