Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. NANCY PELLEGRINO STAM, PMHNP
ActiveMRS. NANCY PELLEGRINO STAM, PMHNP is a 364SP0810X healthcare provider located in FORT SMITH, Arkansas. NPI 1235370891 is currently active in the NPPES registry. Verify at CMS.
364SP0810X · FORT SMITH, AR
Registration Details
- NPI Number
- 1235370891
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 11, 2009 (17.4055823983 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
048 (CO)148 (CO)2010005264 (VA)A004937 (AR)
Practice Information
- Address
-
1340 S WALDRON RDFORT SMITH, AR, 729032556Browse AR providers · Browse ZIP 72903
- Phone
- 4794525040
- Fax
- 4794525047
- Primary Specialty
-
364SP0810X
364SP0810X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- 364SP0810X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.