STACEY THOMPSON MIETUS APRN CNP NPI 1447667456

NPI Information

NPI: 1447667456
Provider Name: STACEY THOMPSON MIETUS, APRN, CNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
428 MINNESOTA ST STE 500
SAINT PAUL, MN
ZIP 55101
Phone: (612) 662-9604
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Stacey Thompson Mietus, APRN, CNP is a psychiatric/mental health nurse practitioner in Saint Paul, MN. Stacey Thompson Mietus, APRN, CNP NPI is 1447667456. 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:

428 MINNESOTA ST STE 500
SAINT PAUL, MN
ZIP 55101-666
Phone: (612) 662-9604
Fax: (612) 474-9072

The enumeration date for this NPI number is 7/22/2014 and was last updated on 7/31/2023.

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	163W00000X	Registered Nurse		2470293	MINNESOTA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	6409	MINNESOTA	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: 4/28/2024

NPI Synchronization or Removal

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