Leifried, Stacy

Leifried, Stacy is an individual health care provider with primary practice located at 100 N Green Valley Pkwy Ste 239 , Henderson NV 89074-7704. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Leifried, Stacy can be contacted via phone (702) 844-4841.

Contact Information

Primary practice address
100 N Green Valley Pkwy Ste 239 Henderson NV 89074-7704
Phone: (702) 844-4841
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN17354 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN00419 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN00419 Nevada

Profile Details

NPI number 1265490585
LBN Legal business name Leifried, Stacy
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Aug 2nd, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265490585 NPPES
Nevada Other APRN00419 NSBN LICENSE
Nevada MEDICAID 1265490585 NSBN LICENSE

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