Individual provider · Type 1 NPI
Stacy Colwell
Family Nurse Practitioner · Kirkwood, NY
NPI number
1356876254
Active
Practice location
865 US Route 11
Kirkwood, NY 13795-1001
Mailing address
33 Lewis Rd, 2nd Fl
Binghamton, NY 13905-1048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 688990 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 341924 (NY) |
Family Nurse Practitioner: Definition to come...
About NPI 1356876254
Stacy Colwell's National Provider Identifier is 1356876254, issued on Apr 28, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kirkwood, NY. The record was last updated on Jun 30, 2017.