Staci Lyn Ward is a Surgical in Mora, Missouri. Staci Lyn Ward practices all healthcare services and medical treatments related to Surgical. The NPI Number for Staci Lyn Ward is 1730123621. The last update date is 2019-09-24.
Staci Lyn Ward's current location address is 1925 Butterfield Trl, Mora, Missouri. You can contact this provider via phone number 8175644495. The mailing address for Staci Lyn Ward is 1925 Butterfield Trl, Mora, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Staci Lyn Ward |
|---|---|
| Address | 1925 Butterfield Trl, Mora, Missouri |
| Phone Number | 8175644495 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1730123621 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2019-09-24 |
Provider Mailing Address Detail
| Address | 1925 Butterfield Trl |
|---|---|
| City | Mora |
| State | Missouri (MO) |
| Post Code | 653452814 |
| Phone Number | 8175644495 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA04077 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1164467692 | TX | MEDICARE GROUP NPI |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Staci Lyn Ward by the Centers for Medicare & Medicaid Services?
The Staci Lyn Ward has been assigned the NPI (National Provider Identifier) 1730123621 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Staci Lyn Ward's facilities are situated?
The facilities of Staci Lyn Ward are physically located at the following address: 1925 Butterfield Trl, Mora, MO, 653452814.
What is Staci Lyn Ward's specialized field of practice, and what is the corresponding taxonomy classification code?
The Staci Lyn Ward's area of specialization is Surgical, and the corresponding taxonomy code that categorizes this field of practice is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1730123621 to Staci Lyn Ward?
The Centers for Medicare & Medicaid Services originally issued the 1730123621 to Staci Lyn Ward on 2006-06-15.
As of what date were the details pertaining to Staci Lyn Ward last refreshed?
The information related to the Staci Lyn Ward, including its address, specialty, and other relevant details, was last updated on 2019-09-24.