Nathan, Staci D.

Nathan, Staci D. is an individual health care provider with primary practice located at 5201 Harry Hines Blvd Medical Staff Services, Dallas TX 75235-7708. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Nathan, Staci D. can be contacted via phone (214) 590-8006.

Contact Information

Primary practice address
5201 Harry Hines Blvd Medical Staff Services Dallas TX 75235-7708
Phone: (214) 590-8006
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 562328 Texas

Profile Details

NPI number 1558361964
LBN Legal business name Nathan, Staci D.
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Nov 22nd, 2008 - about 16 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558361964 NPPES
Texas MEDICAID 173982302
Texas Other 8Y0827
Texas MEDICAID 173982301

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