Xavier, Stacy

Xavier, Stacy is an sole proprietor health care provider with primary practice located at 901 Macarthur Blvd Anesthesia Department, Munster IN 46321-2901. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Xavier, Stacy can be contacted via phone (219) 703-1443.

Contact Information

Primary practice address
901 Macarthur Blvd Anesthesia Department Munster IN 46321-2901
Phone: (219) 703-1443
Fax: (219) 513-1127
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9488261 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28304737A Indiana

Profile Details

NPI number 1902425358
LBN Legal business name Xavier, Stacy
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2020
Last updated Aug 8th, 2026 - about 2 months 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 1902425358 NPPES
Indiana MEDICAID 300134500
Indiana Other 1106786935

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