Crill, Stacy Lynnae
Crill, Stacy Lynnae is an individual health care provider with primary practice located at 123 E 3Rd St , Ottumwa IA 52501-2937. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Crill, Stacy Lynnae can be contacted via phone (641) 682-8145.Contact Information
Primary practice address
123 E 3Rd St
Ottumwa IA 52501-2937
Phone: (641) 682-8145
Fax: (641) 682-8857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | C109265 | Iowa |
Profile Details
| NPI number | 1023597812 |
|---|---|
| LBN Legal business name | Crill, Stacy Lynnae |
| Credentials | DNP, CPNP-PC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2018 |
| Last updated | Mar 4th, 2019 - about 7 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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