Individual provider · Type 1 NPI

Stacey Ann Lazar, NP

Nurse Practitioner · Providence, RI

NPI number 1255838447 Active

Practice location

593 Eddy St
Providence, RI 02903

Mailing address

15 La Salle Sq
Providence, RI 02903-1814

Other practice locations

  • 593 Eddy St, Providence, RI 02903-4923 · (401) 444-7585

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN01812 (RI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1255838447

Stacey Ann Lazar, NP's National Provider Identifier is 1255838447, issued on Apr 12, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Providence, RI. The record was last updated on Jul 1, 2026.