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Mr. John Anthony Stagg, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Hamburg, New York
NPI 1316689631

John Anthony Stagg is a Psychiatric/Mental Health Nurse Practitioner based in Hamburg, NY and is specialized in Psychiatric/Mental Health. John Anthony Stagg practices in Hamburg, NY and has the professional credentials of PMHNP-BC. The NPI Number for John Anthony Stagg is 1316689631 and holds a License No. 403753 (New York).

The current practice location address for John Anthony Stagg is 4050 Lake Shore Rd Apt 132, Hamburg, NY and can be reached out via phone at 716-935-0508.

Location: 4050 Lake Shore Rd Apt 132, Hamburg, NY, 14075-1740
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316689631
Provider Name
John Anthony Stagg
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
4050 Lake Shore Rd Apt 132, Hamburg, NY, 14075-1740
Phone Number
716-935-0508
Fax Number
Provider Enumeration Date
04/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4050 Lake Shore Rd Apt 132
City
Hamburg
State
New York
Zip
14075-1740
Phone Number
716-935-0508
Fax Number
person
Provider Business Mailing Address Details
Address
4050 Lake Shore Rd Apt 132
City
Hamburg
State
New York
Zip
14075-1740
Phone Number
716-935-0508
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
403753 (New York)
Definition
Definition to come...
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