NPI 1003231689

Stacy Ervin, APN

Practitioner Family Nurse Practitioner Chicago, IL

Practice location

Address: 401 N Michigan Ave, Chicago, IL 60611-4255
Phone: (866) 825-3227
Mailing address: 161 Washington St Fl 14 Eight Tower Bridge, Suite 1400, Conshohocken, PA 19428-2083

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 209011244 (IL)

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Registry record

NPI: 1003231689
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Feb 2014
Record last updated: 19 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.