National Provider Identifier
Stacy Jean Neiswonger, ANP
Stacy Jean Neiswonger, ANP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Lewiston, NY and a listed phone number of (716) 298-3782.
Profile Overview
- NPI
- 1033382809
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- April 11, 2008
- Last Updated
- November 03, 2014
Practice Location
- 5300 Military RD
- Lewiston, NY 14092-1903
Phone: (716) 298-3782
Mailing Address
- 9 Birdsong Cir
- East Amherst, NY 14051-1650
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1033382809
- Entity Type
- Individual
- Last Name
- Neiswonger
- First Name
- Stacy
- Middle Name
- Jean
- Credential
- ANP
- Mailing Street Address
- 9 Birdsong Cir
- Mailing City
- East Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14051-1650
- Mailing Country
- US
- Mailing Phone
- (716) 572-6995
- Practice Street Address
- 5300 Military RD
- Practice City
- Lewiston
- Practice State
- NY
- Practice ZIP Code
- 14092-1903
- Practice Country
- US
- Practice Phone
- (716) 298-3782
- Enumeration Date
- April 11, 2008
- Last Updated
- November 03, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)