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General NPI Number Information
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NPI Number | 1134166424
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Entity Type | Individual
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Provider Name | STACY LYN FERRERI CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 9701 VENTNOR AVE STE 201
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City | MARGATE CITY
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State | NJ
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Zip | 08402-2222
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Country | US
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Telephone | 609-822-4242
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Fax | 609-822-3211
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Provider Business Mailing Address
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Address Line | 111 ROCHELLE LN
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City | EGG HARBOR TOWNSHIP
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State | NJ
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Zip | 08234-7646
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Country | US
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Telephone | 610-755-7037
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Fax | 609-904-6114
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR11294000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 75015
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN524736L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 26NJ00457100
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN11017812
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License Number State | FL
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