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Staci D. Nathan, NNP
Neonatal Nurse Practitioner in Dallas, Texas
NPI 1558361964

Staci D. Nathan is a Neonatal Nurse Practitioner based in Dallas, TX and is specialized in Neonatal. Staci D. Nathan practices in Dallas, TX and has the professional credentials of NNP. The NPI Number for Staci D. Nathan is 1558361964 and holds a License No. 562328 (Texas).

The current practice location address for Staci D. Nathan is 5201 Harry Hines Blvd, Dallas, TX and can be reached out via phone at 214-590-8006.

Location: 5201 Harry Hines Blvd, Dallas, TX, 75266-0599
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Provider Profile Details
NPI Number
1558361964
Provider Name
Staci D. Nathan
Credential
NNP
Provider Entity Type
Individual
Gender
Female
Address
5201 Harry Hines Blvd, Dallas, TX, 75266-0599
Phone Number
214-590-8006
Fax Number
Provider Enumeration Date
07/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
173982302 05 TX
8Y0827 01 TX BLUE CROSS BLUE SHIELD
173982301 05 TX
institution
Provider Business Practice Location Address Details
Address
5201 Harry Hines Blvd
City
State
Zip
75235-7708
Phone Number
214-590-8006
Fax Number
person
Provider Business Mailing Address Details
Address
5201 Harry Hines Blvd
City
State
Zip
75235-7708
Phone Number
214-590-8006
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
562328 (Texas)
Definition
Definition to come...
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