Individual provider · Type 1 NPI

Stacie Crain

Nurse Practitioner · Carmichael, CA

NPI number 1750785002 Active

Practice location

6501 Coyle Ave
Carmichael, CA 95608-0306

Fax (916) 966-3189

Mailing address

3400 Data Dr, Physician Support Services
Rancho Cordova, CA 95670-7956

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X9500898 (CA)

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 1750785002

Stacie Crain's National Provider Identifier is 1750785002, issued on Oct 15, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Carmichael, CA. The record was last updated on Oct 15, 2014.