IndividualActive
Stacy Ward, RN
NPI 1528869468 · Ambulatory Care Registered Nurse · Shiloh, IL
Provider details
- NPI number
- 1528869468
- Entity type
- Individual
- Primary specialty
- Ambulatory Care Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 2012002591 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
1190 Fortune Blvd
Shiloh, IL 62269-7358
Phone: (314) 286-6988
Approximate (ZIP-level) locationGet directions
Mailing address
1190 Fortune Blvd
Shiloh, IL 62269-7358
Registry dates
- Enumerated
- 2025-03-24
- Last updated
- 2025-03-24
- Certified
- 2025-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.