National Provider Identifier
Stacy Beaver
Stacy Beaver is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 748-2000.
Profile Overview
- NPI
- 1144608407
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- May 07, 2015
- Last Updated
- May 07, 2015
Practice Location
- 875 Ellicott St
- Buffalo, NY 14203-1070
Phone: (716) 748-2000
Mailing Address
- 276 Denrose Dr
- Amherst, NY 14228-2657
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1144608407
- Entity Type
- Individual
- Last Name
- Beaver
- First Name
- Stacy
- Mailing Street Address
- 276 Denrose Dr
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14228-2657
- Mailing Country
- US
- Mailing Phone
- (716) 799-2180
- Practice Street Address
- 875 Ellicott St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1070
- Practice Country
- US
- Practice Phone
- (716) 748-2000
- Enumeration Date
- May 07, 2015
- Last Updated
- May 07, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)