Stacie Siegel
Individual provider Active NPI Pharmacy Technician · Mineral Wells, WV
NPI 1700239100 · NPPES record last updated Jul 20, 2016
Key facts
- NPI
- 1700239100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- TT0011835 (WV)
- Practice address
- 1506 Elizabeth Pike
Mineral Wells, WV 26150-8413 - Phone
- (814) 795-9082
- NPI assigned
- Jul 20, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TT0011835 | WV | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | TT0011835 | WV | Yes |
Addresses
Primary practice location
1506 Elizabeth Pike
Mineral Wells, WV 26150-8413
Mailing address
1506 Elizabeth Pike
Mineral Wells, WV 26150-8413
Phone (814) 795-9082
Other providers in Mineral Wells, WV
- RSM Pharmacy Inc
- Lisa Marie Rutter
- Amber Ryan
- Andrew Robert Sells
- Mary Shaffer
- Kristi Skinner
- Rachel Sleeth
- Krzysztof Maciej Sobieraj
- Rebecca June Somerville
- Jessica Thomas
All providers in Mineral Wells, WV · Pharmacy Technician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.