Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY WILSON
Active Sole ProprietorSTACEY WILSON is a Case Management Agency healthcare provider located in MOUNTAIN VILLAGE, Alaska. NPI 1477832558 is currently active in the NPPES registry. Verify at CMS.
Case Management Agency · MOUNTAIN VILLAGE, AK
Registration Details
- NPI Number
- 1477832558
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 8, 2011 (15.030806678253 yrs)
- Last Updated
- Aug 8, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 AIRPORT RD #366MOUNTAIN VILLAGE, AK, 99632Browse AK providers · Browse ZIP 99632
- Phone
- 9075916295
- Primary Specialty
-
Case Management Agency
251B00000X
- Additional Specialty
- Case Management Agency
- Additional Specialty
- Early Intervention Provider Agency
- Additional Specialty
- In Home Supportive Care Agency
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.