Individual provider · Type 1 NPI

Stacie Stauffer

Nurse Practitioner · Fort Wayne, IN

NPI number 1477055804 Active

Practice location

11104 Parkview Circle Dr Ste 310
Fort Wayne, IN 46845-1733

Call (260) 266-5230 Map

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28183206A (IN)
Nurse Practitioner Primary 363L00000X71007874A (IN)

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 1477055804

Stacie Stauffer's National Provider Identifier is 1477055804, issued on Mar 1, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 11, 2022.