Basic Information
Provider Information
NPI: 1922513407
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORROW
FirstName: STACEY
MiddleName: ANN
NamePrefix:  
NameSuffix:  
Credential: AGACNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: STEINFELD
OtherFirstName: STACEY
OtherMiddleName: ANN
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 6124 W PARKER RD
Address2: STE 530
City: PLANO
State: TX
PostalCode: 750938140
CountryCode: US
TelephoneNumber: 9727476042
FaxNumber: 9727476043
Practice Location
Address1: 1105 CENTRAL EXPY N STE 235
Address2:  
City: ALLEN
State: TX
PostalCode: 750136135
CountryCode: US
TelephoneNumber: 9727476042
FaxNumber: 9727476043
Other Information
ProviderEnumerationDate: 12/06/2017
LastUpdateDate: 11/19/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/19/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100XAP135827TXN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
363LA2200XAP135827TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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