Individual provider · Type 1 NPI
Stacy Marie Fairley, ACNP
Acute Care Nurse Practitioner · San Jose, CA
NPI number
1255673703
Active
Practice location
250 Hospital Pkwy
San Jose, CA 95119-1103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 21687 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1255673703
Stacy Marie Fairley, ACNP's National Provider Identifier is 1255673703, issued on Mar 22, 2013. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in San Jose, CA. The record was last updated on Mar 22, 2013.