STACY T. ERVIN — Medicare Enrolled Provider (PRACTITIONER - NURSE PRACTITIONER, IL)
STACY T. ERVIN — Medicare Enrolled Provider (PRACTITIONER - NURSE PRACTITIONER, IL) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: STACY T. ERVIN; Type: Individual; NPI: 1003231689.
| Name | STACY T. ERVIN |
|---|---|
| Type | Individual |
| NPI | 1003231689 |
| Provider type | PRACTITIONER - NURSE PRACTITIONER |
| State | IL |
| Enrollment ID | I20140417001678 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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