STACYE DICK GNP-BC NPI 1124455118

NPI Information

Stacye Dick, GNP-BC is a gerontology nurse practitioner in Chantilly, VA. Stacye Dick, GNP-BC NPI is 1124455118. 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:

14121 PARKE LONG CT
SUITE 200 & 201
CHANTILLY, VA
ZIP 20151-647
Phone: (571) 449-3585
Fax: (800) 752-2471

The NPI 1124455118 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2013 and was last updated on 10/4/2013.

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:

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