Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACIE ANDERSON, AGNP
ActiveSTACIE ANDERSON, AGNP is a Gerontological Nurse Practitioner healthcare provider located in SONOMA, California. NPI 1407695182 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · SONOMA, CA
Registration Details
- NPI Number
- 1407695182
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2024 (2.1936044898842 yrs)
- Last Updated
- May 22, 2024
- Licenses
-
95029378 (CA)95029378 (CA)95029378 (CA)
Practice Information
- Address
-
19270 SONOMA HIGHWAYSONOMA, CA, 95476Browse CA providers · Browse ZIP 95476
- Phone
- 7079396070
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Primary Care Nurse Practitioner
- Additional Specialty
- Gerontological Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.