Individual
AMY ENGLEHART STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
526 B ST, DAVIS, CA 95616-3811
(530) 757-5300
(530) 757-5323
Mailing address
526 B ST, DAVIS, CA 95616-3811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
740828
CA
163WS0200X
School Registered Nurse
Primary
740828
CA
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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