Stayler McOmie
Stayler McOmie is a Nurse Practitioner in Newport Beach, California. Qualified in 2019, 7 years ago. Practices with Santibanez PAC Utah, a 24-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 7
- Licensed in
- UT
- In the registry since
- 2020
Practice location Address checks out
520 Superior Ave Ste 255Newport Beach, CA 92663-3668
Phone: (951) 756-2152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 6111559-4405 (UT) |
|---|
Record details
| NPI number | 1932749538 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 10, 2020 |
| Last updated in NPPES | February 17, 2020 |
| Certification date | February 17, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Santibanez Pac Utah — 24 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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