Anderson, Stacyann

Anderson, Stacyann is an individual health care provider with primary practice located at 220 S Harrison St , East Orange NJ 07018-1401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Anderson, Stacyann can be contacted via phone (862) 438-8265.

Contact Information

Primary practice address
220 S Harrison St East Orange NJ 07018-1401
Phone: (862) 438-8265
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00904600 New Jersey

Profile Details

NPI number 1215595764
LBN Legal business name Anderson, Stacyann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2019
Last updated Jan 16th, 2025 - about last year

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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