National Provider Identifier
Debra Stacey, MSNE PMHNP ANP CDE
Debra Stacey, MSNE PMHNP ANP CDE is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Williamsville, NY and a listed phone number of (716) 544-0996.
Profile Overview
- NPI
- 1275844136
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- June 25, 2010
- Last Updated
- December 11, 2016
Practice Location
- 5820 Main St Ste 406
- Williamsville, NY 14221-5734
Phone: (716) 544-0996
Mailing Address
- 3843 Union RD # 15-127
- Buffalo, NY 14225-4256
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Diabetes Educator Registered Nurse (163WD0400X)
Full Record
- NPI
- 1275844136
- Entity Type
- Individual
- Last Name
- Stacey
- First Name
- Debra
- Credential
- MSNE PMHNP ANP CDE
- Provider Other Last Name
- Madison
- Provider Other First Name
- Debra
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 3843 Union RD # 15-127
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14225-4256
- Mailing Country
- US
- Mailing Phone
- (716) 544-0996
- Mailing Fax
- (716) 544-0997
- Practice Street Address
- 5820 Main St Ste 406
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5734
- Practice Country
- US
- Practice Phone
- (716) 544-0996
- Practice Fax
- (716) 544-0997
- Enumeration Date
- June 25, 2010
- Last Updated
- December 11, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Diabetes Educator Registered Nurse (163WD0400X)