Hopper, Stacey Michelle
Hopper, Stacey Michelle is an individual health care provider with primary practice located at 10900 W 44Th Ave Unit 200 , Wheat Ridge CO 80033-2742. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Hopper, Stacey Michelle can be contacted via phone (303) 993-1330.Contact Information
Primary practice address
10900 W 44Th Ave Unit 200
Wheat Ridge CO 80033-2742
Phone: (303) 993-1330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP4949 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 12199 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 2429 | Colorado |
Profile Details
| NPI number | 1316291479 |
|---|---|
| LBN Legal business name | Hopper, Stacey Michelle |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2012 |
| Last updated | Jan 29th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316291479 | NPPES |
| Arizona | Other | Z171648 | PTAN |
| Arizona | MEDICAID | 829176 | PTAN |
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