Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacey Lynne Boscoe

Individual provider Rehabilitation Practitioner · NPI 1417690272

Stacey Lynne Boscoe is a Rehabilitation Practitioner in Santa Cruz, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

3540 Soquel Ave Ste D
Santa Cruz, CA 95062-1769
Phone: (831) 600-8911
Fax: (800) 808-2728
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X · Licence OW0009884 (CA)

Record details

NPI number1417690272
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 19, 2022
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022

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