STACEE LYDERS


Address: 2222 N Craycroft Rd Ste 150, Tucson, AZ 85712-2816
Phone: 5202023488

STACEE LYDERS (NPI# 1548804206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548804206
Entity Type Individual
Full Name STACEE LYDERS
Credential CPNP-PC
Practice Address 2222 N Craycroft Rd Ste 150
Tucson
AZ 85712-2816
Mailing Address 5055 E Broadway Blvd Ste A100
Tucson
AZ 85711-3629
Practice Telephone 5202023488
Practice Fax Number 5202023486
Mailing Telephone 5203821085
Enumeration Date 2019-11-05
Last Update Date 2020-08-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
228942 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2222 N CRAYCROFT RD STE 150
City TUCSON
State AZ
Zip Code 85712-2816

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891899530 Duane F Dyson Pediatrics 2222 N Craycroft Rd Ste 150, Tucson, AZ 85712-2816 2006-09-12
1164940557 Shannon Morgenstern Nurse Practitioner 2222 N Craycroft Rd Ste 150, Tucson, AZ 85712-2830 2017-09-06
1245546092 Elizabeth Grace Altomare Pediatrics 2222 N Craycroft Rd Ste 150, Tucson, AZ 85712-2816 2010-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1063031953 Mehera Tiffanie Hormuz Student in an Organized Health Care Education/Training Program 5301 E. Grant Rd., Tucson, AZ 85712 2020-04-10
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326606146 Mollie Finn Nurse Practitioner 2356 N Emerald Lake Ct, Tucson, AZ 85749-7925 2019-06-05
1063987683 Katherine Anne Bassler Nurse Practitioner 5375 E Erickson Dr Ste 103, Tucson, AZ 85712-2838 2018-10-10
1154771509 Sofhia Ynes Ytuarte Nurse Practitioner 8174 S Woodfrost Way, Tucson, AZ 85747-9014 2016-06-16
1073885851 Gloanna Peek Nurse Practitioner 1305 N Martin, Tucson, AZ 85721-0203 2012-02-08
1821206137 Rebecca Louise Zahn Nurse Practitioner 102 N Plumer Ave, Tucson, AZ 85719-5906 2007-05-18
1720174519 Maria M Montez Nurse Practitioner 535 N Wilmot, Suite #101, Tucson, AZ 85711 2006-10-05
1821075979 Sheri Michele Carson Nurse Practitioner 3870 W River Rd Ste 126, Tucson, AZ 85741-3080 2005-12-29
1487653895 Kristen Moore Nurse Practitioner 5681 N Oracle Rd, Tucson, AZ 85704-3813 2005-07-18
1669476198 Katherine Ann Watson Nurse Practitioner 1310 W. St Mary's Road, Tucson, AZ 85745 2005-06-13
1104481282 Electine Namuye K Shirley Nurse Practitioner 839 W Congress St, Tucson, AZ 85745-2819 2019-05-05
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Competitor

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City TUCSON
Zip Code 85712

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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