STACI R MIMS

WASHINGTON, DC
NPI1417874074
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: FL  RN959015)
Enumeration Date2026-07-02
Last Update Date2026-07-02
Business Address
STACI R MIMS
3700 RESERVOIR RD NW
WASHINGTON, DC 20007-2111
Phone number: 202-687-0100
Mailing Address
STACI R MIMS
5229 MILLENIA BLVD APT 104
ORLANDO, FL 32839-6145
Phone number: 559-392-4531
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