| NPI | 1497981880 |
|---|---|
| Other Name | STACEY L MCCANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA00872) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA6561) |
| Enumeration Date | 2009-05-31 |
| Last Update Date | 2026-02-11 |