Lookup NPI Numbers from the NPI Registry
NPI Profile for STACIE ANDERSON in SONOMA, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1407695182 |
|
| Status | Active | |
| Credentials | AGNP | |
| Entity | Individual | |
| Enumeration date | 05/22/2024 | |
| Last updated | 05/22/2024 - About 2 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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STACIE ANDERSON
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STACIE ANDERSON, AGNP