Individual
STACEY L NYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-8820
(412) 359-8222
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-8820
(412) 359-8222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP018796
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103538914
—
PA
01
—
14277401
CAQH
—
Enumeration date
05/07/2018
Last updated
10/09/2020
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