Halderman, Stacy

Halderman, Stacy is an individual health care provider with primary practice located at 2250 S Main St Ste 104 , Corona CA 92882. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Halderman, Stacy can be contacted via phone (951) 737-1454.

Contact Information

Primary practice address
2250 S Main St Ste 104 Corona CA 92882
Phone: (951) 737-1454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95010080 California

Profile Details

NPI number 1558836510
LBN Legal business name Halderman, Stacy
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2018
Last updated Mar 24th, 2023 - about 3 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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