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Contact Information

PANADDA STACY, RNP
9985 SIERRA AVE
FONTANA, CA92335-6720
 Phone: 909-427-7031
 Fax: 909-427-4127
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PANADDA STACY · (Female)

NPI Number 1013080068
Status Active
Credentials RNP
Entity Individual
Enumeration date 11/16/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # NP9619
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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