Nathaniel William Stacy, CRPA-P

NPI #1083325575 in Utica, New York

Provider Information

NPI Number
1083325575
Entity Type
Individual
Name
Nathaniel William Stacy, CRPA-P
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Peer Specialist
Credential
CRPA-P
Enumeration Date
Dec 6, 2022
Last Updated
Dec 6, 2022

Practice Location

Address
624 ELIZABETH ST
City
Utica
ZIP Code
13501-2413
Phone
(315) 580-9748

Specialties & Taxonomy Codes

Specialty
Peer Specialist

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