National Provider Identifier

Stacy A Dean, NP

Stacy A Dean, NP 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) 875-2904.

NPI 1770540007Buffalo, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1770540007
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
April 28, 2006
Last Updated
September 19, 2018

Practice Location

  • 155 Lawn Ave
  • Buffalo, NY 14207-1816

Phone: (716) 875-2904

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
Full Record
NPI
1770540007
Entity Type
Individual
Last Name
Dean
First Name
Stacy
Middle Name
A
Credential
NP
Provider Other Last Name
Saternus
Provider Other First Name
Stacy
Provider Other Last Name Type Code
1
Mailing Street Address
155 Lawn Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14207-1816
Mailing Country
US
Mailing Phone
(716) 875-2904
Mailing Fax
(716) 875-6717
Practice Street Address
155 Lawn Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14207-1816
Practice Country
US
Practice Phone
(716) 875-2904
Practice Fax
(716) 875-6717
Enumeration Date
April 28, 2006
Last Updated
September 19, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X)
Other Identifiers
11239209 (NY, Caqh), 000560569003 (NY, BCBS Of Wny), 9513169 (NY, Iha), 040426002780 (NY, Fidelis Care), 177021BJ (NY, Preferred Care), P00362240 (NY, Medicare Railroad)