Stacee Anderson in Liberty Lake - Physician Assistant
Stacee Anderson - NPI 1467438762
Stacee Anderson is a Physician Assistant in Liberty Lake, Washington. Stacee Anderson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stacee Anderson is 1467438762. The last update date is 2021-04-05.
Stacee Anderson's current location address is Po Box 421, Liberty Lake, Washington. You can contact this provider via phone number 8667472455. The mailing address for Stacee Anderson is Po Box 421, Liberty Lake, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacee Anderson |
|---|---|
| Address | Po Box 421, Liberty Lake, Washington |
| Phone Number | 8667472455 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1467438762 |
|---|---|
| Provider Enumeration Date | 2005-12-19 |
| Last Updated Date | 2021-04-05 |
Provider Mailing Address Detail
| Address | Po Box 421 |
|---|---|
| City | Liberty Lake |
| State | Washington (WA) |
| Post Code | 990190421 |
| Phone Number | 8667472455 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA703 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2413220 | NV | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Stacee Anderson by the Centers for Medicare & Medicaid Services (CMS)?
The Stacee Anderson has been assigned the NPI (National Provider Identifier) 1467438762. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Stacee Anderson is physically located?
The Stacee Anderson is physically situated at the following address: Po Box 421, Liberty Lake, WA, 990190421.
What is Stacee Anderson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stacee Anderson's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did Stacee Anderson receive its 1467438762 assignment from the Centers for Medicare & Medicaid Services?
The Stacee Anderson was assigned its 1467438762 on 2005-12-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Stacee Anderson most recently updated or revised?
The information pertaining to Stacee Anderson, including its address, specialty, and other relevant details, was last updated or revised on 2021-04-05.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY