Staci L Sampo is a Pediatrics in Livermore, California. Staci L Sampo practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Staci L Sampo is 1750427613. The last update date is 2013-04-02.
Staci L Sampo's current location address is 1133 E Stanley Blvd, Livermore, California. You can contact this provider via phone number 9254555050 and fax number 9254555084. The mailing address for Staci L Sampo is 1133 E Stanley Blvd, Livermore, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Staci L Sampo |
|---|---|
| Address | 1133 E Stanley Blvd, Livermore, California |
| Phone Number | 9254555050 |
| Fax Number | 9254555084 |
| Sole Proprietor | N |
| Credentials | R.N. |
NPI Number Detail
| NPI Number | 1750427613 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2013-04-02 |
Provider Mailing Address Detail
| Address | 1133 E Stanley Blvd |
|---|---|
| City | Livermore |
| State | California (CA) |
| Post Code | 945504200 |
| Phone Number | 9254555050 |
| Fax Number | 9254555084 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 10106 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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What is the Staci L Sampo's unique identification number?
The Staci L Sampo has been assigned the NPI (National Provider Identifier) Number 1750427613 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Staci L Sampo is located?
The Staci L Sampo is situated at the following address: 1133 E Stanley Blvd, Livermore, CA, 945504200.
What is the area of specialization for Staci L Sampo, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Staci L Sampo is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750427613 to Staci L Sampo?
The Centers for Medicare & Medicaid Services originally issued the 1750427613 to Staci L Sampo on 2007-01-29.
As of what date were the Staci L Sampo's details last updated?
The information pertaining to the Staci L Sampo, including its address, specialty, and other details, was most recently updated on 2013-04-02.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC