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

Stacie Anderson, AGNP

Individual provider Nurse Practitioner · NPI 1407695182

Stacie Anderson, AGNP is a Nurse Practitioner in Sonoma, California. Qualified in 2023, 3 years ago. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
Specialties on file
3
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

See every abbreviation used in this directory →

Practice location Address checks out

19270 Sonoma Hwy
Sonoma, CA 95476
Phone: (707) 939-6070
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 95029378 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 95029378 (CA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 95029378 (CA)

Record details

NPI number1407695182
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedMay 22, 2024
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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