Gann, Mariah Stacy

Gann, Mariah Stacy is an sole proprietor health care provider with primary practice located at 525 N Keene St Ste 301 , Columbia MO 65201-8106. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Gann, Mariah Stacy can be contacted via phone (573) 449-2141.

Contact Information

Primary practice address
525 N Keene St Ste 301 Columbia MO 65201-8106
Phone: (573) 449-2141
Fax: (573) 556-1750
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1851077408
LBN Legal business name Gann, Mariah Stacy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2023
Last updated Aug 20th, 2025 - 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.

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