Rask, Stacy

Rask, Stacy is an individual health care provider with primary practice located at 10467 93Rd Ave N , Maple Grove MN 55369-4112. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Rask, Stacy can be contacted via phone (651) 488-4655.

Contact Information

Primary practice address
10467 93Rd Ave N Maple Grove MN 55369-4112
Phone: (651) 488-4655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2460509 Minnesota

Profile Details

NPI number 1326754045
LBN Legal business name Rask, Stacy
Credentials RM
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2023
Last updated Jan 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326754045 NPPES
Minnesota MEDICAID 1144260589

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