Provider Demographics
NPI:1407730427
Name:FAYLING, STACY (BSN, RN)
Entity type:Individual
Prefix:
First Name:STACY
Middle Name:
Last Name:FAYLING
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:STACY
Other - Middle Name:
Other - Last Name:STURMOSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:2086 S 35TH ST
Mailing Address - Street 2:
Mailing Address - City:GALESBURG
Mailing Address - State:MI
Mailing Address - Zip Code:49053-9646
Mailing Address - Country:US
Mailing Address - Phone:269-823-4233
Mailing Address - Fax:
Practice Address - Street 1:2086 S 35TH ST
Practice Address - Street 2:
Practice Address - City:GALESBURG
Practice Address - State:MI
Practice Address - Zip Code:49053-9646
Practice Address - Country:US
Practice Address - Phone:269-823-4233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X
MI4704303742163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No171400000XOther Service ProvidersHealth & Wellness Coach