Colby Andrew Stack, NP

NPI #1386414878 in Sullivan, Missouri

Provider Information

NPI Number
1386414878
Entity Type
Individual
Name
Colby Andrew Stack, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Jan 4, 2024
Last Updated
Sep 19, 2025

Practice Location

Address
751 SAPPINGTON BRIDGE RD
ZIP Code
63080-2354
Phone
(573) 468-4186

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Nurse Practitioner - Acute CareAcute Care

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