Stacy Lynnae Crill
Nurse Practitioner - Pediatrics
123 E 3rd St
Ottumwa
, Iowa 52501-2937
Stacy Lynnae Crill
Nurse Practitioner - Pediatrics
123 E 3rd St
Ottumwa
, Iowa 52501-2937
(641) 682-8857
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Stacy Lynnae Crill
- 123 E 3rd St Ste 2
- Ottumwa, IA
- Zip : 52501-2937
- Fax : (641) 682-8857
- Phone : (641) 682-8145
Second Address
- Stacy Lynnae Crill
- 123 E 3rd St
- Ottumwa, IA
- Zip : 52501-2937
- Fax : (641) 682-8857
- Phone : (641) 682-8145
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What type of doctor is Stacy Lynnae Crill
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Is Stacy Lynnae Crill a sole practitioner?
Is Stacy Lynnae Crill accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | C109265 | IA |
National Provider Identifier
| NPI | 1023597812 |
|---|---|
| Provider Name | Stacy Lynnae Crill |
| First Address | Ottumwa, IA 52501-2937 |
| Second Address | Ottumwa, IA 52501-2937 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/08/2018 |
| Last Update Date | 04/03/2019 |
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.