Individual
ANASTASIA L STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 ROUTE 46, LEDGEWOOD, NJ 07852-9738
(973) 927-4662
Mailing address
1103 ROUTE 46, LEDGEWOOD, NJ 07852-9738
(973) 927-4662
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15561300
NJ
Other
Enumeration date
04/20/2026
Last updated
06/16/2026
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