Anderson, Stacie

Anderson, Stacie is an individual health care provider with primary practice located at 19270 Sonoma Highway , Sonoma CA 95476. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Anderson, Stacie can be contacted via phone (707) 939-6070.

Contact Information

Primary practice address
19270 Sonoma Highway Sonoma CA 95476
Phone: (707) 939-6070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95029378 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95029378 California
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 95029378 California

Profile Details

NPI number 1407695182
LBN Legal business name Anderson, Stacie
Credentials AGNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2024
Last updated May 22nd, 2024 - about 2 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.

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