National Provider Identifier

Ngoc B Stad

Ngoc B Stad is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-4912.

NPI 1154704179Rochester, NYFamily Nurse Practitioner

Profile Overview

NPI
1154704179
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
July 08, 2015
Last Updated
June 28, 2023

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 275-4912

Specialties

  • Family Nurse Practitioner (363LF0000X)
  • Family Nurse Practitioner (363LF0000X)

Endpoints

  • ndiep47501@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

Full Record
NPI
1154704179
Entity Type
Individual
Last Name
Stad
First Name
Ngoc
Middle Name
B
Provider Other Last Name
Stad
Provider Other First Name
Ngoc
Provider Other Middle Name
B
Provider Other Credential Text
NP
Provider Other Last Name Type Code
1
Mailing Street Address
601 Elmwood Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 275-4912
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-4912
Enumeration Date
July 08, 2015
Last Updated
June 28, 2023
Sex
Female
Sole Proprietor
No
Certification Date
February 20, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X), Family Nurse Practitioner (363LF0000X)