Timothy James Stacy, ACNP
NPI #1457356479 in Sherman Oaks, California
Provider Information
- NPI Number
- 1457356479
- Entity Type
- Individual
- Name
- Timothy James Stacy, ACNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Acute Care
- Credential
- ACNP
- Enumeration Date
- Jun 16, 2005
- Last Updated
- Feb 23, 2010
Practice Location
- Address
- 4955 VAN NUYS BLVD
- Address 2
- SUITE 502
- City
- Sherman Oaks
- State
- California
- ZIP Code
- 91403-1801
- Phone
- (818) 325-0200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Acute Care — Acute Care |
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