person
Timothy James Stacy, ACNP
Acute Care Nurse Practitioner in Sherman Oaks, California
NPI 1457356479

Timothy James Stacy is an Acute Care Nurse Practitioner based in Simi Valley, CA and is specialized in Acute Care. Timothy James Stacy practices in Sherman Oaks, CA and has the professional credentials of ACNP. The NPI Number for Timothy James Stacy is 1457356479 and holds a License No. 15005 (California).

The current practice location address for Timothy James Stacy is 4955 Van Nuys Blvd, Sherman Oaks, CA and can be reached out via phone at 818-325-0200 and via fax at 818-325-0210. You can also correspond with Timothy James Stacy through the mailing address at 5268 HUCKLEBERRY OAK STREET, SIMI VALLEY, CA - 93063 (mailing address contact number: 805-208-0434).

Location: 4955 Van Nuys Blvd, Sherman Oaks, CA, 93063
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Provider Profile Details
NPI Number
1457356479
Provider Name
Timothy James Stacy
Credential
ACNP
Provider Entity Type
Individual
Gender
Male
Address
4955 Van Nuys Blvd, Sherman Oaks, CA, 93063
Phone Number
818-325-0200
Fax Number
818-325-0210
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP0150050 05 CA
2571636 05 CA
B1180Z 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
4955 Van Nuys Blvd
City
State
Zip
91403-1801
Phone Number
818-325-0200
Fax Number
818-325-0210
person
Provider Business Mailing Address Details
Address
5268 Huckleberry Oak Street
City
State
Zip
93063
Phone Number
805-208-0434
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
15005 (California)
Definition
Definition to come...
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