Doctor Name: | STACEY SAVOY |
NPI Number: | 1528428844 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | AP08660 |
Business Practice Address: | 601 E Bridge St Breaux Bridge, LA - 705173801 |
Business Phone Number: | 3373322857 |
Business Fax Number: | |
Mailing Address: | 601 E Bridge St, BREAUX BRIDGE |
State: | LA |
Postal Code: | 705173801 |
Phone Number: | 3373322857 |
Fax Number: | |
NPI Enumeration Date: | 02/29/2016 |
NPI Last Update Date: | 02/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP08660 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |