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Mrs. Stacy Nicle Mahinda
Student in an Organized Health Care Education/Training Program in Sherman, Illinois
NPI 1508254004

Stacy Nicle Mahinda is a Student in an Organized Health Care Education/Training Program based in Sherman, IL. Stacy Nicle Mahinda practices in Sherman, IL. The NPI Number for Stacy Nicle Mahinda is 1508254004 and holds a License No. (Illinois).

The current practice location address for Stacy Nicle Mahinda is 41 Knollwood Dr, Sherman, IL and can be reached out via phone at 217-415-2596.

Location: 41 Knollwood Dr, Sherman, IL, 62684-9524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508254004
Provider Name
Stacy Nicle Mahinda
Credential
Provider Entity Type
Individual
Gender
Female
Address
41 Knollwood Dr, Sherman, IL, 62684-9524
Phone Number
217-415-2596
Fax Number
Provider Enumeration Date
01/06/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
41 Knollwood Dr
City
Sherman
State
Illinois
Zip
62684-9524
Phone Number
217-415-2596
Fax Number
person
Provider Business Mailing Address Details
Address
41 Knollwood Dr
City
Sherman
State
Illinois
Zip
62684-9524
Phone Number
217-415-2596
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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