| Mr Shawn Henry Stacy, LPN | |
|
1213 Fudge Dr, Beavercreek, OH 45434-6720 | |
| (937) 431-8861 | |
| Not Available |
| Full Name | Mr Shawn Henry Stacy |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 1213 Fudge Dr, Beavercreek, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568784627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN. 131419 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Shawn Henry Stacy, LPN 1213 Fudge Dr, Beavercreek, OH 45434-6720 Ph: (937) 431-8861 | Mr Shawn Henry Stacy, LPN 1213 Fudge Dr, Beavercreek, OH 45434-6720 Ph: (937) 431-8861 |
Winifred Atta-effa, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2489 Edgewater Dr Apt 5, Beavercreek, OH 45431 Phone: 571-486-6591 | |
Ashley Dawn Fullen, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2911 Tara Trl, Beavercreek, OH 45434 Phone: 937-361-3983 | |
Vicki J Carmack Hall, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1303 Windsor Dr, Beavercreek, OH 45434 Phone: 937-974-0411 Fax: 937-427-2989 | |
Donna Jenkins, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1605 Woods Drive, Beavercreek, OH 45432 Phone: 937-312-7564 | |
Mrs. Misti Kam, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4480 Willow Run Dr, Beavercreek, OH 45430 Phone: 937-293-8300 Fax: 937-534-1579 | |
Rikki Kathleen Brooks, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4208 Penrose Ct, Beavercreek, OH 45431 Phone: 937-308-9613 | |
Mrs. Jennifer Lynn Burnette, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2428 Apricot Dr, Beavercreek, OH 45431 Phone: 937-426-0160 |