Stacy Stats, CNS
Clinical Nurse Specialist, Critical Care Medicine in Fort Belvoir, VA. Individual provider (NPI-1).
NPI number1386365542
StatusActive
Last updated in NPPESSep 7, 2022
Details
- NPI
- 1386365542
- Entity type
- Individual (NPI-1)
- Name
- Stacy Stats
- Credential
- CNS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2022
- Certification date
- Sep 7, 2022
- Last updated
- Sep 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364SC0200X | Clinical Nurse Specialist, Critical Care Medicine | 4515 | CA | Yes |
Practice location
9300 Dewitt LoopFort Belvoir, VA 22060-5285
Phone 760-637-7813
Mailing address
15001 Pansy CtWoodbridge, VA 22193-3385
Phone 760-637-7813
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