Search › Ohio › 164W00000X
Shawn Stacy, LPN
NPI 1568784627 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1213 Fudge Dr
Beavercreek, OH 45434 - Phone
- (937) 431-8861
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-02-17
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 Ohio