MRS. NANCY PELLEGRINO STAM PMHNP NPI 1235370891

NPI Information

NPI: 1235370891
Provider Name: MRS. NANCY PELLEGRINO STAM, PMHNP
Classification: Clinical Nurse Specialist - 364SP0810X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Child & Family

PECOS Registration: Yes

Address:
1340 S WALDRON RD
FORT SMITH, AR
ZIP 72903
Phone: (479) 452-5040
Get Directions

MRS. Nancy Pellegrino Stam, PMHNP is a psychiatric/mental health and child and family clinical nurse specialist in Fort Smith, AR. MRS. Nancy Pellegrino Stam, PMHNP NPI is 1235370891. 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:

1340 S WALDRON RD
FORT SMITH, AR
ZIP 72903-556
Phone: (479) 452-5040
Fax: (479) 452-5047

The NPI 1235370891 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/11/2009 and was last updated on 3/17/2018.

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	363L00000X	Nurse Practitioner		048	COLORADO	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	148	COLORADO	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2010005264	VIRGINIA	No
4	364SP0810X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Family	A004937	ARKANSAS	Yes

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: 4/28/2024

NPI Synchronization or Removal

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