Healthcare Provider Details

I. General information

NPI: 1891627907
Provider Name (Legal Business Name): DR STACEE MUNROE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8940 S MARYLAND PKWY STE 400
LAS VEGAS NV
89123-5363
US

IV. Provider business mailing address

8020 S RAINBOW BLVD STE 100-150
LAS VEGAS NV
89139-6483
US

V. Phone/Fax

Practice location:
  • Phone: 702-934-6860
  • Fax:
Mailing address:
  • Phone: 702-934-6860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. STACEE SHAWNAE MUNROE
Title or Position: OWNER
Credential: OMD
Phone: 702-934-6860