STACY L MANROE


Address: 3897 Cameron Dr Ne, Lacey, WA 98516-3888
Phone: 9738268080

STACY L MANROE (NPI# 1568816528) 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) 1568816528
Entity Type Individual
Full Name STACY L MANROE
Credential PA-C
Practice Address 3897 Cameron Dr Ne
Lacey
WA 98516-3888
Mailing Address 695 Us Highway 46
Suite 400a
Fairfield
NJ 07004-1592
Practice Telephone 9738268080
Practice Fax Number 8663093354
Mailing Telephone 9738941263
Mailing Fax Number 8889723703
Enumeration Date 2016-04-15
Last Update Date 2016-08-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA10003512 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3897 CAMERON DR NE
City LACEY
State WA
Zip Code 98516-3888

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154694123 Victoria Urankar Byrd Pharmacist 3897 Cameron Dr Ne, Lacey, WA 98516-3888 2012-02-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730744210 Michael Oropeza Behavioral Analyst 8282 28th Court Northeast, Suite A, Lacey, WA 98516 2019-05-09
1902361330 Amanda Jessica Mae Allen Behavioral Analyst Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 2019-02-11
1619459393 Kayla-renee Williams Behavioral Analyst Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 2018-08-30
1174004303 Julie Ann Lisowski Massage Therapist 3532 Cuddy Ln Ne, Lacey, WA 98516 2018-08-26
1740700145 Joseph Brandon Kimmel Denturist 5032 Beverly Dr Ne, Olympia, WA 98516 2017-06-27
1649649880 Katie Cole Behavioral Analyst 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 2015-09-17
1306234166 Reza Tahernia Dentist 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 2015-01-02
1770997603 Qualified Surgical Services Pllc Surgery 3697 Cameron Dr Ne, Lacey, WA 98516 2014-06-18
1184048688 Stephanie Renee Hjortedal Specialist/Technologist 8750 Tallon Lane Ne., Lacey, WA 98516 2014-02-05
1295169811 Teasha Corrado Behavioral Analyst 8282 28th Court Ne, Suite A, Lacey, WA 98516 2013-08-30
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801839725 Mark S Mathews Physician Assistant 700 Sleater Kinney Rd Se, Pmb 254, Lacey, WA 98503-1150 2006-06-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780153536 Patricia Dorian Physician Assistant 2950 Squalicum Pkwy Ste B, Bellingham, WA 98225-1857 2018-11-21
1851875561 Sarah Gene Soloff Physician Assistant 9730 3rd Ave Ne Ste 201, Seattle, WA 98115-2023 2018-09-18
1104308394 Johnny Thanh Nguyen Physician Assistant 1135 116th Ave Ne Ste 605, Bellevue, WA 98004-4697 2018-09-04
1558843201 Stefanie Eller Physician Assistant 532 Cedar Wood Ln, Wenatchee, WA 98801-2476 2018-08-29
1861987992 Lillian Baldwin Bourret Physician Assistant 6317 Linden Ave N, Seattle, WA 98103-5658 2018-07-01
1417446758 Janelle Elizabeth Becker Physician Assistant 11511 Canterwood Blvd Nw Ste 205, Gig Harbor, WA 98332 2018-05-02
1982058418 Ray Johnson Physician Assistant 4446 88th Ave Se, Mercer Island, WA 98040 2016-04-21
1073990651 Laura Skanse Physician Assistant 12303 Ne 130th Ln #500, Kirkland, WA 98034 2015-05-02
1104231893 Amber Elaine Deck Physician Assistant 20307 67th Ave E, Spanaway, WA 98387-5600 2014-06-22
1043535024 Pamela Baird Physician Assistant 2016 16th Ave East, Seattle, WA 98112-5260 2010-04-01
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Competitor

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City LACEY
Zip Code 98516

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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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