Stacey, Debra

Stacey, Debra is an individual health care provider with primary practice located at 5820 Main St Ste 406 , Williamsville NY 14221-5734. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Stacey, Debra can be contacted via phone (716) 544-0996.

Contact Information

Primary practice address
5820 Main St Ste 406 Williamsville NY 14221-5734
Phone: (716) 544-0996
Fax: (716) 544-0997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 486617-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 401660 New York

Profile Details

NPI number 1275844136
LBN Legal business name Stacey, Debra
Credentials MSNE PMHNP ANP CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2010
Last updated Dec 11th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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