Individual provider · Type 1 NPI

Stacey Mahan

Licensed Practical Nurse · Sidney, OH

NPI number 1174405948 Active

Practice location

720 Fielding Rd
Sidney, OH 45365-3237

Call (937) 622-0508 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X193343 (OH)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1174405948

Stacey Mahan's National Provider Identifier is 1174405948, issued on Jul 23, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Sidney, OH. The record was last updated on Jul 23, 2025.