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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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 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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