Stacy A. Vanvleet in Rockford - Nurse Practitioner
Stacy A. Vanvleet - NPI 1689734204
Stacy A. Vanvleet is a Nurse Practitioner in Rockford, Illinois. Stacy A. Vanvleet practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Stacy A. Vanvleet is 1689734204. The last update date is 2016-04-12.
Stacy A. Vanvleet's current location address is 2400 N Rockton Ave, Rockford, Illinois. You can contact this provider via phone number 8159715000. The mailing address for Stacy A. Vanvleet is 2400 N Rockton Ave, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy A. Vanvleet |
|---|---|
| Address | 2400 N Rockton Ave, Rockford, Illinois |
| Phone Number | 8159715000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1689734204 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2016-04-12 |
Provider Mailing Address Detail
| Address | 2400 N Rockton Ave |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611033655 |
| Phone Number | 8159715000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 209-002958 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NON PAR | IL | -- |
Post Comment/ Review Below
What is the Stacy A. Vanvleet's 1689734204?
The Stacy A. Vanvleet's NPI (National Provider Identifier) Number is 1689734204. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Stacy A. Vanvleet?
The Stacy A. Vanvleet is physically situated at 2400 N Rockton Ave, in the city of Rockford, state of IL, with the postal code 611033655.
What is the Stacy A. Vanvleet's specialty and taxonomy code?
The Stacy A. Vanvleet's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date was the 1689734204 assigned to Stacy A. Vanvleet?
The Stacy A. Vanvleet was issued its 1689734204 on 2006-12-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Stacy A. Vanvleet most recently updated or revised?
The details related to Stacy A. Vanvleet, including its address, specialty, and other relevant information, were last updated or revised on 2016-04-12.