Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacey Gannon

Individual provider Registered Nurse · NPI 1578016218

Stacey Gannon is a Registered Nurse in Mandan, North Dakota. Licensed in North Dakota. Registered with an NPI since 2016.

Licensed in
ND
In the registry since
2016

Practice location Address checks out

1200 Collins Ave
Mandan, ND 58554-2066
Phone: (701) 663-5373
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence R31642 (ND)

Record details

NPI number1578016218
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 29, 2016
Last updated in NPPESJuly 29, 2016
Mailing address1200 Collins Ave, Mandan, ND 58554-2066

Other providers in Mandan