Individual
EVELYN M STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
100 HITCHCOCK WAY, MANCHESTER, NH 03104-4125
(603) 695-2500
(603) 898-4779
Mailing address
100 HITCHCOCK WAY, MANCHESTER, NH 03104-4125
(603) 695-2750
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN 02994221
NH
363LP0200X
Pediatric Nurse Practitioner
029942-23
NH
363LP0200X
Pediatric Nurse Practitioner
AR NP 0299422308
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AR NP 0299422302
NH
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
029942-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30009223
—
NH
Enumeration date
05/18/2006
Last updated
02/24/2022
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