Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Staci M Mullen, RN

Individual provider Registered Nurse · NPI 1154935682

Staci M Mullen, RN is a Registered Nurse in Canaseraga, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

49 S Church St
Canaseraga, NY 14822
Phone: (607) 545-6197
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 617017 (NY)

Record details

NPI number1154935682
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedSeptember 2, 2020
Last updated in NPPESSeptember 2, 2020
Certification dateAugust 27, 2020

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