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Ms. Kimberly Marie Stack, PMHNP-BC
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist in Clifton Park, New York
NPI 1366413536

Kimberly Marie Stack is a Child & Family Psychiatric/Mental Health Clinical Nurse Specialist based in Clifton Park, NY and is specialized in Psychiatric/Mental Health, Child & Family. Kimberly Marie Stack practices in Clifton Park, NY and has the professional credentials of PMHNP-BC. The NPI Number for Kimberly Marie Stack is 1366413536 and holds a License No. F402216 (New York).

The current practice location address for Kimberly Marie Stack is 954 Route 146 Ste 3, Clifton Park, NY and can be reached out via phone at 518-952-4000 and via fax at 833-974-2234.

Location: 954 Route 146 Ste 3, Clifton Park, NY, 12065-3639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366413536
Provider Name
Kimberly Marie Stack
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
954 Route 146 Ste 3, Clifton Park, NY, 12065-3639
Phone Number
518-952-4000
Fax Number
833-974-2234
Provider Enumeration Date
01/27/2006
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
954 Route 146 Ste 3
City
Clifton Park
State
New York
Zip
12065-3639
Phone Number
518-952-4000
Fax Number
833-974-2234
person
Provider Business Mailing Address Details
Address
954 Route 146 Ste 3
City
Clifton Park
State
New York
Zip
12065-3639
Phone Number
518-952-4000
Fax Number
833-974-2234
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
426056-1 (New York)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Child & Family
Taxonomy
364SP0810X
License No.
0001125389 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
F402216 (New York)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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