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Stacy M Wiley, NURSEPRACTITIONER
Nurse Practitioner in Bridgeton, Missouri
NPI 1669176046

Stacy M Wiley is a Nurse Practitioner based in Saint Louis, MO. Stacy M Wiley practices in Bridgeton, MO and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Stacy M Wiley is 1669176046 and holds a License No. 2022044057 (Missouri).

The current practice location address for Stacy M Wiley is 12277 De Paul Dr Ste 403, Bridgeton, MO and can be reached out via phone at 314-738-2715.

Location: 12277 De Paul Dr Ste 403, Bridgeton, MO, 63195-5534
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669176046
Provider Name
Stacy M Wiley
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
12277 De Paul Dr Ste 403, Bridgeton, MO, 63195-5534
Phone Number
314-738-2715
Fax Number
Provider Enumeration Date
03/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12277 De Paul Dr Ste 403
City
Bridgeton
State
Missouri
Zip
63044-2536
Phone Number
314-738-2715
Fax Number
person
Provider Business Mailing Address Details
Address
12277 De Paul Dr Ste 403
City
Bridgeton
State
Missouri
Zip
63044-2536
Phone Number
314-738-2715
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2022044057 (Missouri)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
2022044057 (Missouri)
Definition
Definition to come...
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