Root, Stacey

Root, Stacey is an individual health care provider with primary practice located at 40601 N Gantzel Rd Ste 103 , San Tan Valley AZ 85140-7036. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Root, Stacey can be contacted via phone (602) 648-5444.

Contact Information

Primary practice address
40601 N Gantzel Rd Ste 103 San Tan Valley AZ 85140-7036
Phone: (602) 648-5444
Fax: (602) 772-3801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 8913 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8913 Arizona

Profile Details

NPI number 1518358894
LBN Legal business name Root, Stacey
Credentials PA-C, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2015
Last updated Mar 11th, 2024 - about last year

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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