MS. Kimberly Marie Stack, PMHNP-BC
NPI #1366413536 in Clifton Park, New York
Provider Information
- NPI Number
- 1366413536
- Entity Type
- Individual
- Name
- MS. Kimberly Marie Stack, PMHNP-BC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- PMHNP-BC
- Enumeration Date
- Jan 27, 2006
- Last Updated
- Jun 2, 2025
Practice Location
- Address
- 954 ROUTE 146 STE 3
- City
- Clifton Park
- State
- New York
- ZIP Code
- 12065-3639
- Phone
- (518) 952-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Anesthetist, Certified Registered |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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