Individual provider · Type 1 NPI

Timothy James Stacy, ACNP

Acute Care Nurse Practitioner · Sherman Oaks, CA

NPI number 1457356479 Active

Practice location

4955 Van Nuys Blvd, Suite 502
Sherman Oaks, CA 91403-1801

Fax (818) 325-0210

Mailing address

5268 Huckleberry Oak Street
Simi Valley, CA 93063

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X15005 (CA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1457356479

Timothy James Stacy, ACNP's National Provider Identifier is 1457356479, issued on Jun 16, 2005. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Sherman Oaks, CA. The record was last updated on Feb 23, 2010.