Provider Demographics
NPI:1740920636
Name:AARON, STACIA MARIE (WHNP-BC)
Entity type:Individual
Prefix:
First Name:STACIA
Middle Name:MARIE
Last Name:AARON
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5060 LOMA ALTA DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-7532
Mailing Address - Country:US
Mailing Address - Phone:214-206-7728
Mailing Address - Fax:
Practice Address - Street 1:6991 PECAN ST STE 300
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4252
Practice Address - Country:US
Practice Address - Phone:469-678-0800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-30
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1072894363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health