Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. STACY D MIERAU, PA-C
ActiveMS. STACY D MIERAU, PA-C is a Physician Assistant healthcare provider located in PISMO BEACH, California. NPI 1629054895 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PISMO BEACH, CA
Registration Details
- NPI Number
- 1629054895
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 20, 2005 (20.466955154695 yrs)
- Last Updated
- Jan 30, 2023
- License
-
PA16679 (CA)
Practice Information
- Address
-
921 OAK PARK BLVD STE 204PISMO BEACH, CA, 934493400Browse CA providers · Browse ZIP 93449
- Phone
- 8054734949
- Fax
- 8054733165
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PISMO BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. MARY ANN SCHNEIDER | PA-C | 1750366092 |
| KIMEN M COLGAN | PA | 1699739227 |
| JENNIFER LEE GINGRICH | P.A.-C | 1578506614 |
| ALISON WATT | PA-C | 1669688537 |
| MR. CRAIG DAVID GALLAGHER | PA | 1538348206 |
| LAURIE KATHERINE MOORE | PA | 1659694057 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.