MS. STACEY REYNOLDS DAHL (NPI# 1396342895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396342895 |
| Entity Type | Individual |
| Full Name | MS. STACEY REYNOLDS DAHL |
| Credential | APRN, FNP-C |
| Practice Address |
103 Fram Treet Petersburg AK 99833-0589 |
| Mailing Address |
Po Box 1732 Petersburg AK 99833-1732 |
| Practice Telephone | 9077724291 |
| Practice Fax Number | 9077733085 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
163327 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
103 FRAM TREET |
| City | PETERSBURG |
| State | AK |
| Zip Code | 99833-0589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831720713 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 202 2nd & Gjoa Street, Petersburg, AK 99833 | 2020-01-30 |
| 1710518006 | Troy Carl Larson | Behavior Technician | 200 Fram Street, Petersburg, AK 99833 | 2020-01-27 |
| 1770128316 | Brenda Louise | Assisted Living Facility | 206 S 2nd, Petersburg, AK 99833 | 2019-11-07 |
| 1861055337 | Ashley Kawashima | Counselor | 100 Fram St., Petersburg, AK 99833 | 2019-04-19 |
| 1932762499 | Mindy Lopez | Rehabilitation Counselor | 1016 Lake Street, Petersburg, AK 99833 | 2019-04-19 |
| 1760921753 | Patrick Sessa | Social Worker | 201 N Nordic Dr., Petersburg, AK 99833 | 2017-02-23 |
| 1992151294 | Bradee Ann Luhr | Physical Therapist | 244 Mitkof Highway, Petersburg, AK 99833 | 2016-05-05 |
| 1891158267 | Lina Kotsoeva | Counselor | 226 S Nordic Dr, Petersburg, AK 99833 | 2016-04-01 |
| 1447623137 | Pacific Wings, LLC | Air Carrier | 1500 Haugen Drive, Petersburg, AK 99833 | 2015-11-04 |
| 1366857088 | Amanda Lemiere Taylor | Social Worker | 201 N Nordic Dr, Petersburg, AK 99833 | 2014-06-23 |
| Find all providers in zip 99833 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992269286 | Angela Hooe | Nurse Practitioner | 601 Old Wagner Rd Ste 100, Petersburg, VA 23805-9313 | 2019-01-30 |
| 1902390982 | Haneefah Omega Henry Rhodes | Nurse Practitioner | Vsu Health Center 1 Hayden Dr, Petersburg, VA 23806-0001 | 2018-06-21 |
| 1265936454 | Angela Marie Jeter | Nurse Practitioner | 3471 Woolper Rd, Petersburg, KY 41080-9764 | 2018-03-21 |
| 1205347846 | Bethany Kinney | Nurse Practitioner | 4100 W Rauch Rd, Petersburg, MI 49270-9800 | 2017-10-23 |
| 1801244165 | Tonya Shah | Nurse Practitioner | 601 Old Wagner Rd Ste 101, Petersburg, VA 23805-9313 | 2016-05-27 |
| 1801146071 | Melissa Lee Mathias | Nurse Practitioner | 10 Mulligan Drive, Petersburg, WV 26847-1511 | 2012-09-14 |
| 1548411879 | Lynette Galloway Branch | Nurse Practitioner | Virginia State University Student Health, 1 Hayden Drive, Petersburg, VA 23806-0001 | 2008-10-06 |
| 1922215128 | Vicky Nell Groce | Nurse Practitioner | 212 South Public Square, Petersburg, TN 37144-0093 | 2007-05-17 |
| 1134298995 | Becky J Calhoun Harman | Nurse Practitioner | 100 Hospital Dr Ste 1, Petersburg, WV 26847 | 2006-11-07 |
| 1184605321 | Hannelore Barbara Mancil | Nurse Practitioner | 1730 Arch St, Petersburg, VA 23805-1620 | 2005-11-07 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 99833 |
Please comment or provide details below to improve the information on MS. STACEY REYNOLDS DAHL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.