Stacey Harminson in Mattoon - Physician Assistant
Stacey Harminson - NPI 1710093018
Stacey Harminson is a Physician Assistant in Mattoon, Illinois. Stacey Harminson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stacey Harminson is 1710093018. The last update date is 2023-01-25.
Stacey Harminson's current location address is 1005 Health Center Dr Ste 104, Mattoon, Illinois. You can contact this provider via phone number 2172582178 and fax number 2172584024. The mailing address for Stacey Harminson is 1005 Health Center Dr Ste 104, Mattoon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Harminson |
|---|---|
| Address | 1005 Health Center Dr Ste 104, Mattoon, Illinois |
| Phone Number | 2172582178 |
| Fax Number | 2172584024 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1710093018 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2023-01-25 |
Provider Mailing Address Detail
| Address | 1005 Health Center Dr Ste 104 |
|---|---|
| City | Mattoon |
| State | Illinois (IL) |
| Post Code | 619384693 |
| Phone Number | 2172582178 |
| Fax Number | 2172584024 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 085-001452 |
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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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Where is the Stacey Harminson located?
The Stacey Harminson is located at 1005 Health Center Dr Ste 104, Mattoon, IL 619384693.
Could you please provide the complete physical location address of Stacey Harminson?
The Stacey Harminson is physically situated at 1005 Health Center Dr Ste 104, in the city of Mattoon, state of IL, with the postal code 619384693.
What is the Stacey Harminson's specialty and taxonomy code?
The Stacey Harminson's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
What is the area of specialization for Stacey Harminson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stacey Harminson is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Stacey Harminson's 1710093018 issued?
The Stacey Harminson's 1710093018 was issued on 2006-08-21.
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