Individual provider · Type 1 NPI

Stacy Gail Ettinger, CPNP

Pediatric Nurse Practitioner · Dallas, TX

NPI number 1932438751 Active

Practice location

1935 Medical District Dr, Center For Cancer And Blood Disorders
Dallas, TX 75235-7701

Call (214) 456-3214 Map

Mailing address

3019 Thomas Ave Apt 1402
Dallas, TX 75204-2814

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	696355 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1932438751

Stacy Gail Ettinger, CPNP's National Provider Identifier is 1932438751, issued on Dec 8, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dallas, TX. The record was last updated on Sep 22, 2010.