Stacy Ervin
Nurse Practitioner - Family Medicine
401 N Michigan Ave
Chicago
, Illinois 60611-4255
Stacy Ervin
Nurse Practitioner - Family Medicine
401 N Michigan Ave
Chicago
, Illinois 60611-4255
(866) 825-3227
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Stacy Ervin
- 161 Washington St Fl 14 Eight Tower Bridge, Suite 1400
- Conshohocken, PA
- Zip : 19428-2083
- Phone : (866) 825-3227
Second Address
- Stacy Ervin
- 401 N Michigan Ave
- Chicago, IL
- Zip : 60611-4255
- Phone : (866) 825-3227
Reviews
FAQs
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In what state does Stacy Ervin practice in?
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Is Stacy Ervin a sole practitioner?
Is Stacy Ervin accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 209011244 | IL |
National Provider Identifier
| NPI | 1003231689 |
|---|---|
| Provider Name | Stacy Ervin |
| First Address | Conshohocken, PA 19428-2083 |
| Second Address | Chicago, IL 60611-4255 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/02/2014 |
| Last Update Date | 19/02/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.