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NPI Code Detail

MEDICARE: STACEY LYNN POSTON RN, MSN, NP

MEDICARE: STACEY LYNN POSTON RN, MSN, NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN 470207CA

General Provider Information

NPI Number : 1942417548
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACEY LYNN POSTON RN, MSN, NP
Provider Business Mailing Address
First Line : 1500 E CHEVY CHASE DR
Second Line : SUITE 450
City : GLENDALE
State : CA
Zip : 91206-4152
Country : US
Telephone Number : 818-230-7778
Fax Number :
Provider Business Practice Location Address
First Line : 65 N MADISON AVE
Second Line : SUITE 610
City : PASADENA
State : CA
Zip : 91101-2035
Country : US
Telephone Number : 626-432-1681
Fax Number : 626-432-6869
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 02/10/2015

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