Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MIRA F. STACO, N.P.P. A.N.P.
Active Sole ProprietorMRS. MIRA F. STACO, N.P.P. A.N.P. is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in VALLEY STREAM, New York. NPI 1235464298 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · VALLEY STREAM, NY
Registration Details
- NPI Number
- 1235464298
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 8, 2009 (16.665248126633 yrs)
- Last Updated
- Nov 14, 2013
- Licenses
-
F306665 (NY)401229 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
819 UNIVERSITY STVALLEY STREAM, NY, 115813517Browse NY providers · Browse ZIP 11581
- Phone
- 5165690887
- Fax
- 5165690887
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in VALLEY STREAM, NY
| Name | Credential | NPI |
|---|---|---|
| MARCIA D WILLIAMS-HAILEY | NP | 1831288547 |
| MS. BONNIE LYNN GILDEA | NP | 1255400271 |
| MS. PEGGY MARIE HARDY | RN, PMHNP | 1669636759 |
| MR. ROBERT LEE TERRELONGE | NPP, ANP | 1902056005 |
| JOSEPH PIERROT | — | 1548586159 |
| TAMISHA KELLY | PMHNP | 1487073821 |
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.