STACY GAIL ETTINGER CPNP NPI 1932438751

NPI Information

  • NPI: 1932438751
  • Provider Name: STACY GAIL ETTINGER, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1935 MEDICAL DISTRICT DR
    CENTER FOR CANCER AND BLOOD DISORDERS
    DALLAS, TX
    ZIP 75235
  • Phone: (214) 456-3214

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NPI Details

Stacy Gail Ettinger, CPNP is a pediatrics nurse practitioner in Dallas, TX with 16 years of experience. Stacy Gail Ettinger, CPNP NPI is 1932438751. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1935 MEDICAL DISTRICT DR
CENTER FOR CANCER AND BLOOD DISORDERS
DALLAS, TX
ZIP 75235-701
Phone: (214) 456-3214

The NPI 1932438751 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/8/2009 and was last updated on 9/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatrics696355TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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