NPI 1063735959 STACIA D PETRANCOSTA PA-C FAYETTEVILLE NC. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Stacia D Petrancosta - NPI: 1063735959

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: STACIA D PETRANCOSTA
NPI Number: 1063735959
Entity Type Code: Individual (1)
Gender: F
Credentials: PA-C
License Number:
Business Practice Address: 1722 Gruber Rd
Fort Bragg, NC - 283107901
Business Phone Number: 9105787053
Business Fax Number:
Mailing Address: 3308 Harbour Pointe Pl Unit 8,
FAYETTEVILLE
State: NC
Postal Code: 283141757
Phone Number: 9105787053
Fax Number:
NPI Enumeration Date: 03/05/2010
NPI Last Update Date: 03/05/2010
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363AM0700X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Physician Assistant
Taxonomy Specialization: Medical
Taxonomy Definition:


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