Individual provider · Type 1 NPI
Stacy D. Nelson, N.P.
Family Nurse Practitioner · Munster, IN
NPI number
1962510222
Active
Practice location
701 Superior Ave Ste E
Munster, IN 46321-4038
Fax (219) 922-4020
Mailing address
PO Box 1261
Cooperstown, NY 13326-6261
Other practice locations
- 1 Atwell Rd, Cooperstown, NY 13326-1301 · (607) 547-3772
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 320064 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 71008745A (IN) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1962510222
Stacy D. Nelson, N.P.'s National Provider Identifier is 1962510222, issued on Aug 28, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Munster, IN. The record was last updated on Apr 6, 2022.