Individual provider · Type 1 NPI
Staci R. Mims
Women's Health Nurse Practitioner · Washington, DC
NPI number
1417874074
Active
Practice location
3700 Reservoir Rd NW
Washington, DC 20007-2111
Mailing address
5229 Millenia Blvd Apt 104
Orlando, FL 32839-6145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | RN959015 (FL) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1417874074
Staci R. Mims's National Provider Identifier is 1417874074, issued on Jul 2, 2026. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Washington, DC. The record was last updated on Jul 2, 2026.