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Contact Information

MARY B STACK, NURSE PRACTITIONER
2955 IVY RD
SUITE 201 UNIVERSITY OF VIRGINIA HEALTH SYSTEM NORTHRID
CHARLOTTESVILLE, VA22903
 Phone: 434-243-4531
 Fax: 434-243-4717
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MARY B STACK · (Female)

NPI # 1437234770
Status Active
Credentials NURSE PRACTITIONER
Entity Individual
Enumeration date 10/26/2006
Last updated 01/06/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0001096552
  • VA License # 0024096552
  • Other C07038 CMS GROUP
  • Other 500029674 RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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