Individual provider · Type 1 NPI
Staci Marie Memmesheimer, F.N.P
Family Nurse Practitioner · Staten Island, NY
NPI number
1174745293
Active
Practice location
25 Hyatt St
Staten Island, NY 10301-1827
Mailing address
16 Graham Blvd
Staten Island, NY 10305-4056
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F333983 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1174745293
Staci Marie Memmesheimer, F.N.P's National Provider Identifier is 1174745293, issued on May 2, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Jul 8, 2007.