Stacy Dahl
Technician, Other in Moorhead, MN. Individual provider (NPI-1).
NPI number1487074480
StatusActive
Last updated in NPPESApr 4, 2020
Details
- NPI
- 1487074480
- Entity type
- Individual (NPI-1)
- Name
- Stacy Dahl
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2014
- Certification date
- Apr 4, 2020
- Last updated
- Apr 4, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
891 Belsly BlvdMoorhead, MN 56560-5055
Phone 218-287-4338
Mailing address
891 Belsly BlvdMoorhead, MN 56560-5055
Phone 218-287-4338
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 20 Other Technician providers in Moorhead · All 1,308 providers in Moorhead
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