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

Stacey Mahan

Individual provider Licensed Practical Nurse · NPI 1174405948

Stacey Mahan is a Licensed Practical Nurse in Sidney, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025

Practice location Address checks out

720 Fielding Rd
Sidney, OH 45365-3237
Phone: (937) 622-0508
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 193343 (OH)

Record details

NPI number1174405948
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 23, 2025
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025
Mailing address720 Fielding Rd, Sidney, OH 45365-3237

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