Pavelka, Staci A
Pavelka, Staci A is an individual health care provider with primary practice located at 6704 Sterling Ridge Dr Ste A , The Woodlands TX 77382-2329. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Pavelka, Staci A can be contacted via phone (281) 210-1200.Contact Information
Primary practice address
6704 Sterling Ridge Dr Ste A
The Woodlands TX 77382-2329
Phone: (281) 210-1200
Fax: (281) 210-1210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 647281 | Texas |
Profile Details
| NPI number | 1851487821 |
|---|---|
| LBN Legal business name | Pavelka, Staci A |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Sep 24th, 2009 - about 17 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 | 1851487821 | NPPES |
| Texas | Other | 00J21A | GROUP MEDICARE |
| Texas | Other | 094010801 | GROUP MEDICARE |
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