NPI Registry.org

Stacie Lynne Ebersold

NPI Registration Record

Provider / OrganizationNPIDate Certified
STACIE LYNNE EBERSOLD17509431552021-07-12

Stacie Lynne Ebersold is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1750943155. Registration indicates Stacie Lynne Ebersold is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )

RegistrationPART-B:Y
DME:Y
HHA:Y
PMD:Y
Entity TypeIndividual
Provider NameMrs. Stacie Lynne Ebersold MSN, NP-C
Practice Office Address680 BLAIR MILL RD
HORSHAM, PA US
Practice Office Telephone7175779592
Mailing Address25 MONUMENT RD
STE 220
YORK, PA 174035049 US
Business Telephone7175779592
HPT Codes
CodePractice
License No
State
363LF0000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse PractitionerAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Nurse Practitioner: Family

All Other Specialties & Provider Types

Nurse Practitioner Family
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
SP020581
PA
OPI Codes

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