Individual provider · Type 1 NPI
Colby Andrew Stack, NP
Nurse Practitioner · Sullivan, MO
Practice location
751 Sappington Bridge Rd
Sullivan, MO 63080-2354
Mailing address
660 Mason Ridge Center Dr Ste 300
St. Louis, MO 63141-8512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2024000101 (MO) |
| Acute Care Nurse Practitioner | 363LA2100X | 2024000101 (MO) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
30 other providers at this address
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- Parkway Pathology GroupAnatomic Pathology & Clinical Pathology Physician Sullivan, MO NPI 1750580510
- Amanda Marie Czarnecki, PA-C, MMSPhysician Assistant Sullivan, MO NPI 1669646808
Other nurse practitioner providers in Sullivan
- Amy E. Torres, AGACNP-BCNurse Practitioner Sullivan, MO NPI 1013440064
- Nicole Herbel, NPNurse Practitioner Sullivan, MO NPI 1013890029
- Allyson Marie Byron, FNP-CNurse Practitioner Sullivan, MO NPI 1205600012
- Rebecca M. Hankins-Farber, FNPNurse Practitioner Sullivan, MO NPI 1336455708
- Rebecca Anne Marie West, FNP-CNurse Practitioner Sullivan, MO NPI 1427914795
- Shanek F. Vaccianna-Noe, FNPNurse Practitioner Sullivan, MO NPI 1518763960
- Michelle A. Hassard, APRN FNPNurse Practitioner Sullivan, MO NPI 1558023903
- Tammy WatzNurse Practitioner Sullivan, MO NPI 1780795658
About NPI 1386414878
Colby Andrew Stack, NP's National Provider Identifier is 1386414878, issued on Jan 4, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sullivan, MO. The record was last updated on Sep 19, 2025.