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STACEY MAHAN
NPI 1174405948
Licensed Practical Nurse in Sidney, OH

Active since July 23, 2025
720 FIELDING RD, SIDNEY, OH 45365(937) 622-0508 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey Mahan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY MAHAN (NPI 1174405948) is an individual licensed practical nurse in Sidney, Ohio, licensed in Ohio (193343) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1174405948
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSTACEY MAHAN
Location Address720 FIELDING RDSidney, OH 45365-3237
Mailing Address720 Fielding RdSidney, OH 45365-3237
Phone(937) 622-0508
Sole ProprietorYes
Enumeration DateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1174405948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · 193343
Definition
A licensed practical nurse 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.
720 FIELDING RD, Sidney, OH 45365
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Mahan's NPI number?

The NPI number for Stacey Mahan is 1174405948. It was assigned to this individual provider in the NPPES registry on July 23, 2025.

Where is Stacey Mahan located?

Stacey Mahan practices at 720 Fielding Rd, Sidney, OH 45365. The listed phone number is (937) 622-0508.

What is Stacey Mahan's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Stacey Mahan was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.