National Provider Identifier
John Anthony Stagg, PMHNP-BC
John Anthony Stagg, PMHNP-BC is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Hamburg, NY and a listed phone number of (716) 935-0508.
Profile Overview
- NPI
- 1316689631
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- April 07, 2022
- Last Updated
- April 07, 2022
Practice Location
- 4050 Lake Shore RD Apt 132
- Hamburg, NY 14075-1740
Phone: (716) 935-0508
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
- NPI
- 1316689631
- Entity Type
- Individual
- Last Name
- Stagg
- First Name
- John
- Middle Name
- Anthony
- Name Prefix
- Mr.
- Credential
- PMHNP-BC
- Mailing Street Address
- 4050 Lake Shore RD Apt 132
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-1740
- Mailing Country
- US
- Mailing Phone
- (716) 935-0508
- Practice Street Address
- 4050 Lake Shore RD Apt 132
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075-1740
- Practice Country
- US
- Practice Phone
- (716) 935-0508
- Enumeration Date
- April 07, 2022
- Last Updated
- April 07, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 07, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)