Individual provider · Type 1 NPI

Stacia Langan Sackmaster, APN

Nurse Practitioner · Rockford, IL

NPI number 1912330895 Active

Practice location

401 Roxbury Rd
Rockford, IL 61107-5075

Fax (815) 397-7388

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X209010644 (IL)
Nurse Practitioner Primary 363L00000XAP61603948 (WA)

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 1912330895

Stacia Langan Sackmaster, APN's National Provider Identifier is 1912330895, issued on Aug 15, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rockford, IL. The record was last updated on Jan 24, 2025.