Ross Cesaire, Stacie Nia

Ross Cesaire, Stacie Nia is an individual health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901-3224. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ross Cesaire, Stacie Nia can be contacted via phone (321) 434-1771.

Contact Information

Primary practice address
1350 Hickory St Melbourne FL 32901-3224
Phone: (321) 434-1771
Fax: (321) 434-1775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9324115 Florida
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X APRN9324115 Florida

Profile Details

NPI number 1821578212
LBN Legal business name Ross Cesaire, Stacie Nia
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2018
Last updated Dec 28th, 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 1821578212 NPPES
Florida MEDICAID 120364800
Florida Other K2175

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