Stacy D Mierau in Pismo Beach - Physician Assistant
Stacy D Mierau - NPI 1629054895
Stacy D Mierau is a Physician Assistant in Pismo Beach, California. Stacy D Mierau practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stacy D Mierau is 1629054895. The last update date is 2023-01-30.
Stacy D Mierau's current location address is 921 Oak Park Blvd Ste 204, Pismo Beach, California. You can contact this provider via phone number 8054734949 and fax number 8054733165. The mailing address for Stacy D Mierau is 921 Oak Park Blvd Ste 204, Pismo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy D Mierau |
|---|---|
| Address | 921 Oak Park Blvd Ste 204, Pismo Beach, California |
| Phone Number | 8054734949 |
| Fax Number | 8054733165 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1629054895 |
|---|---|
| Provider Enumeration Date | 2005-12-20 |
| Last Updated Date | 2023-01-30 |
Provider Mailing Address Detail
| Address | 921 Oak Park Blvd Ste 204 |
|---|---|
| City | Pismo Beach |
| State | California (CA) |
| Post Code | 934493400 |
| Phone Number | 8054734949 |
| Fax Number | 8054733165 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA16679 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the Stacy D Mierau's unique identification number?
The Stacy D Mierau has been assigned the NPI (National Provider Identifier) Number 1629054895 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is the unique 10-digit identification code assigned to Stacy D Mierau by the Centers for Medicare & Medicaid Services?
The Stacy D Mierau has been issued the NPI (National Provider Identifier) 1629054895, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Stacy D Mierau is physically located?
The Stacy D Mierau is physically situated at the following address: 921 Oak Park Blvd Ste 204, Pismo Beach, CA, 934493400.
What is Stacy D Mierau's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stacy D Mierau is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
As of what date were the Stacy D Mierau's details last updated?
The information pertaining to the Stacy D Mierau, including its address, specialty, and other details, was most recently updated on 2023-01-30.