STACY MARIE TUCKER RN NPI 1003682972

NPI Information

NPI: 1003682972
Provider Name: STACY MARIE TUCKER, RN
Classification: Registered Nurse - 163WD0400X
Entity Type: Individual

Specialization: Diabetes Educator

Address:
1150 BROOKSIDE AVE STE U
REDLANDS, CA
ZIP 92373
Phone: (909) 335-4131
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Stacy Marie Tucker, RN is a diabetes educator registered nurse in Redlands, CA. Stacy Marie Tucker, RN NPI is 1003682972. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1150 BROOKSIDE AVE STE U
REDLANDS, CA
ZIP 92373-304
Phone: (909) 335-4131

The enumeration date for this NPI number is 11/30/2023 and was last updated on 11/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC1500X	Registered Nurse	Community Health	662818	CALIFORNIA	No
2	163WD0400X	Registered Nurse	Diabetes Educator	662818	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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