Individual
MS. STACEY DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
540 RIVERSIDE DR STE 7, SALISBURY, MD 21801-5352
(410) 548-3333
Mailing address
540 RIVERSIDE DR STE 7, SALISBURY, MD 21801-5352
(410) 548-3333
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R211664
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R211664
MARYLAND BOARD OF NURSING
MD
Enumeration date
02/28/2023
Last updated
04/14/2026
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