Individual provider · Type 1 NPI

Stacye Dick, GNP-BC

Gerontology Nurse Practitioner · Chantilly, VA

NPI number 1124455118 Active

Practice location

14121 Parke Long Ct, Suite 200 & 201
Chantilly, VA 20151-1647

Fax (800) 752-2471

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X256896 (TX)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1124455118

Stacye Dick, GNP-BC's National Provider Identifier is 1124455118, issued on Oct 4, 2013. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Chantilly, VA. The record was last updated on Oct 4, 2013.