Mary J Stacy, FNP
Nurse Practitioner, Family in Manchester Center, Vermont
1790741072- Practice location
- 5957 Main St, Northshire Medical Center, Manchester Center, VT 05255-8913
- Phone
- 802-362-4440
- Fax
- 802-362-7146
- Last updated
- January 13, 2014
Mary Jaeger Stacy is a Nurse Practitioner, Family based in Manchester Center, VT. Mary Jaeger Stacy practices in Manchester Center, VT and has the professional credentials of FNP. The NPI Number for Mary Jaeger Stacy is 1790741072 and holds a License No. 101-0019775 (VT). The current practice location address for Mary Jaeger Stacy is 5957 Main St, Northshire Medical Center, Manchester Center, VT 05255-8913 and can be reached out via phone at 802-362-4440 and via fax at 802-362-7146.
Provider Profile Details
- NPI Number
- 1790741072
- Provider Name
- Mary Jaeger Stacy
- Credential
- FNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 5957 Main St, Northshire Medical Center, Manchester Center, VT 05255-8913
- Phone Number
- 802-362-4440
- Fax Number
- 802-362-7146
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 25, 2006
- Last Update Date
- January 13, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5957 Main St
Northshire Medical Center
Manchester Center, VT 05255-8913 - State
- Vermont
- Zip
- 05255-8913
- Phone Number
- 802-362-4440
- Fax Number
- 802-362-7146
Provider Business Mailing Address Details
- Address
- 5957 Main Street
Northshire Medical Center
Manchester, VT 05255 - City
- Manchester
- State
- VT
- Zip
- 05255
- Phone Number
- 802-362-4440
- Fax Number
- 802-362-7146
License Information
- License Number
- 101-0019775
- License State
- VT
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Manchester Center, VT
View all Nurse Practitioner, Family providers in Manchester Center →- Dr. Carlie M Felion, FNP, PMHNPNurse Practitioner, Family · NPI 1194153593
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Frequently Asked Questions
What is the NPI number of Mary J Stacy, FNP?
The NPI number of Mary J Stacy, FNP is 1790741072. It was assigned on April 25, 2006 and is currently active in the NPPES registry.
What is the specialty of Mary J Stacy, FNP?
Mary J Stacy, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in VT under license number 101-0019775.
Where does Mary J Stacy, FNP practice?
The practice location is 5957 Main St, Northshire Medical Center, Manchester Center, VT 05255-8913. The office can be reached at 802-362-4440 (phone) or 802-362-7146 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790741072 directly on the NPPES registry website.