person
Stacy A Dean, NP
Adult Health Nurse Practitioner in Buffalo, New York
NPI 1770540007

Stacy A Dean is an Adult Health Nurse Practitioner based in Buffalo, NY and is specialized in Adult Health. Stacy A Dean practices in Buffalo, NY and has the professional credentials of NP. The NPI Number for Stacy A Dean is 1770540007 and holds a License No. 303149 (New York).

The current practice location address for Stacy A Dean is 155 Lawn Ave, Buffalo, NY and can be reached out via phone at 716-875-2904 and via fax at 716-875-6717.

Location: 155 Lawn Ave, Buffalo, NY, 14207-1816
person
Provider Profile Details
NPI Number
1770540007
Provider Name
Stacy A Dean
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
155 Lawn Ave, Buffalo, NY, 14207-1816
Phone Number
716-875-2904
Fax Number
716-875-6717
Provider Enumeration Date
04/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11239209 01 NY CAQH
000560569003 01 NY BCBS OF WNY
9513169 01 NY IHA
040426002780 01 NY FIDELIS CARE
177021BJ 01 NY PREFERRED CARE
P00362240 01 NY MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
155 Lawn Ave
City
State
Zip
14207-1816
Phone Number
716-875-2904
Fax Number
716-875-6717
person
Provider Business Mailing Address Details
Address
155 Lawn Ave
City
State
Zip
14207-1816
Phone Number
716-875-2904
Fax Number
716-875-6717
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
303149 (New York)
Definition
Definition to come...
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