Individual
BRENDA STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP013188
PA
364SF0001X
Family Health Clinical Nurse Specialist
SP013188
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP013188
CRNP LICENSE #
PA
Enumeration date
11/08/2013
Last updated
03/05/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us