Mr. Stacy Wilson, APRN
Mr. Stacy Wilson, APRN is a Nurse Practitioner in Venice, Florida. Qualified in 2018, 8 years ago. Practices with Restore Medical Partners PLLC, a 14-clinician group. Licensed in Florida and Hawaii.
- Years since qualifying
- 8
- Licensed in
- FL, HI
- In the registry since
- 2018
- Specialties on file
- 3
What do these letters mean?
- APRN — Advanced Practice Registered Nurse
- The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
Practice location Address checks out
333 Tamiami Trl S Ste 101Venice, FL 34285-2425
Phone: (808) 979-6875
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence APRN-2822 (HI) |
|---|---|
| Critical Care Medicine Registered Nurse | Taxonomy 163WC0200X · Licence RN9431499 (FL) |
| Acute Care Nurse Practitioner | Taxonomy 363LA2100X · Licence APRN9431499 (FL) |
Record details
| NPI number | 1194215244 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | APRN |
| Sole proprietor | Yes |
| NPI enumerated | May 15, 2018 |
| Last updated in NPPES | October 14, 2021 |
| Certification date | October 14, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Restore Medical Partners Pllc — 14 clinicians |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |