STACY KUCHARCZK CPNP NPI 1912924663

NPI Information

NPI: 1912924663
Provider Name: STACY KUCHARCZK, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1735 CITY CENTER BLVD
ELIZABETH CITY, NC
ZIP 27909
Phone: (252) 338-2155
Get Directions

Stacy Kucharczk, CPNP is a pediatrics nurse practitioner in Elizabeth City, NC. Stacy Kucharczk, CPNP NPI is 1912924663. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1735 CITY CENTER BLVD
ELIZABETH CITY, NC
ZIP 27909-960
Phone: (252) 338-2155
Fax: (252) 338-7704

The enumeration date for this NPI number is 7/17/2006 and was last updated on 12/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	5004933	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7787758	MEDICAID	VIRGINIA
2	541778786	OTHER	NORTH CAROLINA	NC HEALTH CH
3	28859N	OTHER	VIRGINIA	OPTIMA, OFC,FAMIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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