Stacey Lake, NP
NPI 1154003473 belongs to Stacey Lake, NP, a primary care nurse practitioner with a practice location in Holladay, UT. The NPI was issued on August 4, 2023, and the record was last updated in NPPES on January 22, 2025. The record lists 3 taxonomy codes.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 5641317-4405 (UT) |
| Family Nurse Practitioner | 363LF0000X | 5641317-4405 (UT) |
| Nurse Practitioner | 363L00000X | 5641317-4405 (UT) |
Practice location
Local context
Active NPPES records list 70 providers with primary care nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 41 of them within 10 miles.
The same primary taxonomy is listed by 115 in Utah and 13,165 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Stacey Mills Lake
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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