Individual provider · Type 1 NPI

Stacy Beaver

Adult Health Nurse Practitioner · Buffalo, NY

NPI number 1144608407 Active

Practice location

875 Ellicott St
Buffalo, NY 14203-1070

Mailing address

276 Denrose Dr
Amherst, NY 14228-2657

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF307070-1 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1144608407

Stacy Beaver's National Provider Identifier is 1144608407, issued on May 7, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Buffalo, NY. The record was last updated on May 7, 2015.