Mary Beth Stack in Charlottesville - Registered Nurse

Mary Beth Stack - NPI 1437234770

Mary Beth Stack is a Registered Nurse in Charlottesville, Virginia. Mary Beth Stack practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Mary Beth Stack is 1437234770. The last update date is 2015-01-06.

Mary Beth Stack's current location address is 588 B Reservoir Ridge Rd, Charlottesville, Virginia. You can contact this provider via phone number 4349781361. The mailing address for Mary Beth Stack is 588 B Reservoir Ridge Rd, Charlottesville, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Beth Stack
Address 588 B Reservoir Ridge Rd, Charlottesville, Virginia
Phone Number 4349781361
Fax Number
Sole Proprietor N
Credentials NURSE PRAC

NPI Number Detail

NPI Number 1437234770
Provider Enumeration Date 2006-10-26
Last Updated Date 2015-01-06

Provider Mailing Address Detail

Address 588 B Reservoir Ridge Rd
City Charlottesville
State Virginia (VA)
Post Code 22901
Phone Number 4349781361
Fax Number

Provider's Primary Taxonomy Detail

Speciality Registered Nurse
Taxonomy 163W00000X
Licence No 1096552
Definition:
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
C07038 CMS GROUP
500029674 RAILROAD

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FAQs about Mary Beth Stack

What is the unique identifier code issued to Mary Beth Stack by the Centers for Medicare & Medicaid Services (CMS)?

The Mary Beth Stack has been assigned the NPI (National Provider Identifier) 1437234770. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Mary Beth Stack?

The Mary Beth Stack is situated at 588 B Reservoir Ridge Rd, in the city of Charlottesville, state of VA, with the zip code 22901.

What is the area of specialization for Mary Beth Stack, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mary Beth Stack is Registered Nurse, and the corresponding taxonomy code that categorizes this area of expertise is 163W00000X.

On what date did the Mary Beth Stack receive the assignment of its 1437234770 from the Centers for Medicare & Medicaid Services?

The Mary Beth Stack was issued its 1437234770 by the Centers for Medicare & Medicaid Services on 2006-10-26.

As of what date was the information regarding Mary Beth Stack, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mary Beth Stack, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-01-06.

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