Mckean, Staci Michelle
Mckean, Staci Michelle is an individual health care provider with primary practice located at 3410 Worth St Suite 250, Dallas TX 75246-2003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mckean, Staci Michelle can be contacted via phone (214) 820-6856.Contact Information
Primary practice address
3410 Worth St Suite 250
Dallas TX 75246-2003
Phone: (214) 820-6856
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | 700711 | Texas |
Profile Details
NPI number | 1538412176 |
---|---|
LBN Legal business name | Mckean, Staci Michelle |
Credentials | ACNS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 19th, 2012 |
Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538412176 | NPPES |
Texas | Other | 700711 | RN LICENSE |
Texas | Other | AP122596 | RN LICENSE |
Texas | Other | 13218 | RN LICENSE |
Texas | Other | 90194305 | RN LICENSE |
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