NPI 1083472609

Stacy Lynn White

Practitioner Case Manager/Care Coordinator Minneapolis, MN

Practice location

Address: 2445 Park Ave, Minneapolis, MN 55404-3714
Phone: (612) 343-3265
Fax: (612) 343-3326

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1083472609
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Mar 2024
Record last updated: 8 Mar 2024

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.