STACEY MARIE POE NPI 1285024588

NPI Information

NPI: 1285024588
Provider Name: STACEY MARIE POE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
25 WHITNEY DR STE 122
MILFORD, OH
ZIP 45150
Phone: (513) 941-4999
Get Directions

Stacey Marie Poe is a family nurse practitioner in Milford, OH with 9 years of experience. Stacey Marie Poe NPI is 1285024588. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

25 WHITNEY DR STE 122
MILFORD, OH
ZIP 45150-400
Phone: (513) 941-4999
Fax: (513) 694-0168

The NPI 1285024588 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/26/2015 and was last updated on 8/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN.355077	OHIO	No
2	363LF0000X	Nurse Practitioner	Family	APRN.CNP.18957	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0161593	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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