Boudreaux, Staci Simon
Boudreaux, Staci Simon is an individual health care provider with primary practice located at 333 Gashes Creek Rd Ste 111 , Asheville NC 28803-9405. 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. Boudreaux, Staci Simon can be contacted via phone (828) 299-5515.Contact Information
Primary practice address
333 Gashes Creek Rd Ste 111
Asheville NC 28803-9405
Phone: (828) 299-5515
Fax: (828) 701-0626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PAA10607 RX | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-10929 | North Carolina |
Profile Details
| NPI number | 1487649091 |
|---|---|
| LBN Legal business name | Boudreaux, Staci Simon |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | May 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487649091 | NPPES |
| Louisiana | MEDICAID | 1026867 |
Popular Providers
-
Stratford, Shay
191 Biltmore Ave , Asheville NC 28801-4109 -
Meadows, John Darrell
291 Sweeten Creek Road , Asheville NC 28803-1527 -
Ramm, Allen P
129 Mcdowell St , Asheville NC 28801-4434 -
Lang, William Mark
5 Vanderbilt Park Dr , Asheville NC 28803-1700 -
Wild, Ronald E
5 Vanderbilt Park Dr , Asheville NC 28803-1700 -
Wood, Kelly Elizabeth
5 Vanderbilt Park Dr , Asheville NC 28803-1700 -
Decristofaro, Louis T
1100 Tunnel Road Va Medical Center, Asheville NC 28805-2043 -
Hefner, Richard James
5 Vanderbilt Park Dr , Asheville NC 28803-1700