1972828515 NPI number — MRS. STACIA ERIN MCFARLAND FNP

Table of content: MRS. STACIA ERIN MCFARLAND FNP (NPI 1972828515)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972828515 NPI number — MRS. STACIA ERIN MCFARLAND FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCFARLAND
Provider First Name:
STACIA
Provider Middle Name:
ERIN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SOUTER
Provider Other First Name:
STACIA
Provider Other Middle Name:
ERIN
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
FNP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1972828515
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/08/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PHYSICIANS PLAN WEIGHT MANAGEMENT MEDICAL CLINIC
Provider Second Line Business Mailing Address:
PO BOX 494939
Provider Business Mailing Address City Name:
REDDING
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
96049
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
530-222-5459
Provider Business Mailing Address Fax Number:
530-222-2916

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PHYSICIANS PLAN WEIGHT MANAGEMENT
Provider Second Line Business Practice Location Address:
2401 HARTNELL AVE
Provider Business Practice Location Address City Name:
REDDING
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-222-5459
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/06/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  16856 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)