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

Stacia Newport

Individual provider Licensed Vocational Nurse · NPI 1821852401

Stacia Newport is a Licensed Vocational Nurse in San Rafael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1466 Lincoln Ave
San Rafael, CA 94901-2021
Phone: (415) 457-3755
Show map & directions

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

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 204838 (CA)

Record details

NPI number1821852401
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 13, 2024
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024
Mailing address1466 Lincoln Ave, San Rafael, CA 94901-2021

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