Individual
MS. STACEY ANNE VACCHIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8401
(717) 531-0647
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
TP006187B
PA
363LF0000X
Family Nurse Practitioner
TP006187B
PA
Other
Enumeration date
06/29/2012
Last updated
01/18/2018
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