CAROL STACK APRN NPI 1164526703

NPI Information

NPI: 1164526703
Provider Name: CAROL STACK, APRN
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
ANNA MARSH LANE
BRATTLEBORO, VT
ZIP 05302
Phone: (802) 257-7785
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Carol Stack, APRN is a psychiatric/mental health clinical nurse specialist in Brattleboro, VT. Carol Stack, APRN NPI is 1164526703. 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:

ANNA MARSH LANE
BRATTLEBORO, VT
ZIP 05302
Phone: (802) 257-7785

The enumeration date for this NPI number is 9/12/2006 and was last updated on 9/5/2008.

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	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	101-00112255	VERMONT	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	101-0011225	OTHER	VERMONT	LICENSE

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: 11/14/2023

NPI Synchronization or Removal

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