Individual
STACY ANNE QUAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CANP/CFNP
Contact information
Practice address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 252-5131
Mailing address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 252-5131
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2008004429
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
R164842-9
MN
363LF0000X
Family Nurse Practitioner
R164842-9
MN
Other
Enumeration date
07/16/2008
Last updated
01/15/2025
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