STACI LYNN ERVIN APRN NPI 1346586757

NPI Information

NPI: 1346586757
Provider Name: STACI LYNN ERVIN, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1021 NEBRASKA ST
SIOUX CITY, IA
ZIP 51105
Phone: (712) 252-2477
Get Directions

Staci Lynn Ervin, APRN is a family nurse practitioner in Sioux City, IA with 12 years of experience. Staci Lynn Ervin, APRN NPI is 1346586757. 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:

1021 NEBRASKA ST
SIOUX CITY, IA
ZIP 51105-436
Phone: (712) 252-2477
Fax: (712) 252-5920

The NPI 1346586757 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/13/2012 and was last updated on 6/14/2021.

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	363LF0000X	Nurse Practitioner	Family	A110802	IOWA	Yes
2	363LF0000X	Nurse Practitioner	Family	111449	NEBRASKA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A110802	OTHER	IOWA	LICENSE
2	111449	OTHER	NEBRASKA	LICENSE

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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