Anderson, Stacy Marie

Anderson, Stacy Marie is an individual health care provider with primary practice located at 6350 W 143Rd St Ste 102 , Savage MN 55378-2890. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Anderson, Stacy Marie can be contacted via phone (952) 428-0200.

Contact Information

Primary practice address
6350 W 143Rd St Ste 102 Savage MN 55378-2890
Phone: (952) 428-0200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1497933170
LBN Legal business name Anderson, Stacy Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2008
Last updated Nov 4th, 2020 - about 6 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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