Individual provider · Type 1 NPI
Stacy Nicole Wong, N.P.
Acute Care Nurse Practitioner · San Francisco, CA
NPI number
1174891568
Active
Practice location
505 Parnassus Ave, Rm M779
San Francisco, CA 94143-0112
Fax (415) 353-3907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 20998 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1174891568
Stacy Nicole Wong, N.P.'s National Provider Identifier is 1174891568, issued on Dec 13, 2011. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in San Francisco, CA. The record was last updated on Dec 13, 2011.