Pfenning, Stacey

Pfenning, Stacey is an individual health care provider with primary practice located at 200 S 5Th St , Bismarck ND 58504-5675. She recently has 2 registered licenses in different health care specialties including 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. Pfenning, Stacey can be contacted via phone (701) 222-3937.

Contact Information

Primary practice address
200 S 5Th St Bismarck ND 58504-5675
Phone: (701) 222-3937
Fax: (701) 222-8805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R27350 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R27350 North Dakota

Profile Details

NPI number 1558405142
LBN Legal business name Pfenning, Stacey
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Dec 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558405142 NPPES
North Dakota MEDICAID 1451286
North Dakota MEDICAID 19750
North Dakota Other 500028258
North Dakota Other R27350

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