Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY LEE KONZAK, PA C
ActiveSTACEY LEE KONZAK, PA C is a Physician Assistant healthcare provider located in BISMARCK, North Dakota. NPI 1962486969 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BISMARCK, ND
Registration Details
- NPI Number
- 1962486969
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 2, 2005 (20.656718870802 yrs)
- Last Updated
- Sep 18, 2014
- Licenses
-
0537 (SD)PAC0348 (ND)
Practice Information
- Address
-
2900 E BROADWAY AVEBISMARCK, ND, 585015112Browse ND providers · Browse ZIP 58501
- Phone
- 7012219997
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in BISMARCK, ND
| Name | Credential | NPI |
|---|---|---|
| DENISE EILEEN FRIED | PA-C | 1740254739 |
| STACIE L MORITZ | PA-C | 1124075619 |
| ANNE M EARSLEY | PA-C | 1679518484 |
| MANDI L BRAUN | PA-C | 1407891112 |
| TRACY L VEARRIER | PA-C | 1043255755 |
| PHYLLIS ABRAHAMSON | — | 1699704726 |
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.