STACEY E BACON — Medicare Enrolled Provider (PRACTITIONER - NURSE PRACTITIONER, KS)
STACEY E BACON — Medicare Enrolled Provider (PRACTITIONER - NURSE PRACTITIONER, KS) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: STACEY E BACON; Type: Individual; NPI: 1003066085.
| Name | STACEY E BACON |
|---|---|
| Type | Individual |
| NPI | 1003066085 |
| Provider type | PRACTITIONER - NURSE PRACTITIONER |
| State | KS |
| Enrollment ID | I20240228002838 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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