Individual provider · Type 1 NPI

Colette Stakely

Family Nurse Practitioner · Vestal, NY

NPI number 1881173532 Active

Practice location

4433 Vestal Pkwy E
Vestal, NY 13850

Fax (607) 240-2972

Mailing address

33 Lewis Rd, 2nd Fl
Binghamton, NY 13905

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X688402 (NY)
Family Nurse Practitioner Primary 363LF0000X343553 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1881173532

Colette Stakely's National Provider Identifier is 1881173532, issued on Aug 13, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Vestal, NY. The record was last updated on Jan 9, 2025.