STACEY ANN MANDERSON
NPI 1417630807
Community Health Worker in Palm Bay, FL
About Stacey Ann Manderson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY ANN MANDERSON (NPI 1417630807) is an individual community health worker in Palm Bay, Florida and active in the NPI registry since August 2023.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stacey Ann Manderson's NPI number?
The NPI number for Stacey Ann Manderson is 1417630807. It was assigned to this individual provider in the NPPES registry on August 10, 2023.
Where is Stacey Ann Manderson located?
Stacey Ann Manderson practices at 985 Caligula Ave SE, Palm Bay, FL 32909. The listed phone number is (321) 419-6945.
What is Stacey Ann Manderson's specialty?
The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.
When was this NPI record last updated?
The NPPES record for Stacey Ann Manderson was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.