Individual provider · Type 1 NPI

Rachael Mary Stacom, ANP

Adult Health Nurse Practitioner · Bronx, NY

NPI number 1184893497 Active

Practice location

1770 Grand Concourse, Suite 2G
Bronx, NY 10457-5524

Mailing address

37 E 83rd St, Apt 1
New York, NY 10028-0813

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X304736 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1184893497

Rachael Mary Stacom, ANP's National Provider Identifier is 1184893497, issued on Feb 21, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bronx, NY. The record was last updated on Feb 21, 2008.