Search › Oklahoma › 175T00000X
Susan Stacy, C-PRSS
NPI 1124511639 · on the registry since 2018
Practice
- Address
- 105365 S Highway 102
Mcloud, OK 74851 - Phone
- (405) 988-2071
- Organisation at this address
- Kickapoo Health Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 26
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Also registered as
- 104100000X
175T00000X - Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-11-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma