NPI 1164526703

Carol Stack, APRN

Practitioner Psychiatric/Mental Health Clinical Nurse Specialist Brattleboro, VT

Practice location

Address: Anna Marsh Lane, Brattleboro, VT 05302
Phone: (802) 257-7785

Registered specialties

Psychiatric/Mental Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0808X Licence 101-00112255 (VT)

Other Clinical Nurse Specialist providers in Vermont →

Registry record

NPI: 1164526703
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2006
Record last updated: 5 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.