Individual provider · Type 1 NPI

Stacy Ann Vencill, PA-C

Medical Physician Assistant · Irvine, CA

NPI number 1629110655 Active

Practice location

4870 Barranca Pkwy, 350
Irvine, CA 92604-4709

Call (949) 451-6060 Map

Fax (949) 451-6070

Mailing address

PO Box 15243
Newport Beach, CA 92659-5243

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA18107 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1629110655

Stacy Ann Vencill, PA-C's National Provider Identifier is 1629110655, issued on Feb 13, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Irvine, CA. The record was last updated on Feb 3, 2010.