Most Relevant Information
Provider Data
| NPI Number: | 1003005034 |
| Provider Name: | MISTI D. STAGGERS CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 364SG0600X |
| Specialty: | Clinical Nurse Specialist |
| License Number: | NP07950 |
Most Important Dates
| Enumeration Date: | 10/16/2007 |
| Last Updated: | 10/16/2007 |
Provider Practice Location
120 MCMILLEN DR
NEWARK
OH
430551809
Practice Location Phone/Fax
| Phone: | 7403487935 |
| Fax: | 7403487936 |
Provider Mailing Location
120 MCMILLEN DR
NEWARK
OH
430551809
Provider Mailing Phone/Fax
| Phone: | 7403487935 |
| Fax: | 7403487936 |