| NPI | 1720853450 |
|---|---|
| Other Name | STACY ANDERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 906531) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV 28555) |
| 163W00000X Registered Nurse (Licence: CA 514568) | |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2026-10-08 |