Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACIE PHAN, RN
Deactivated Sole ProprietorSTACIE PHAN, RN is a Family Nurse Practitioner healthcare provider located in ROCHESTER, New York. NPI 1538605050 is deactivated in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · ROCHESTER, NY
This NPI has been deactivated.
The record was deactivated on February 14, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1538605050
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 7, 2017 (3.103825136612 yrs)
- Last Updated
- Aug 26, 2024
- Deactivated
- Feb 14, 2020
- Licenses
-
717751-1 (NY)348130 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
973 EAST AVEROCHESTER, NY, 146072216Browse NY providers · Browse ZIP 14607
- Phone
- 5852441000
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in ROCHESTER, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. MARY L MEEHAN | NP | 1992704720 |
| MRS. CATHERINE E SMITH III | CPNP/FNP-C | 1801897202 |
| MRS. THERESA M. SCHWARTZ | MS, FNP, ANP | 1548253164 |
| MICHAEL W GREENLEE | MSRN, FNP | 1285629170 |
| MS. JACQUELINE M. HAGELBERG | F.N.P | 1285621904 |
| DIANE SEXTON HILTON | FNP | 1801884044 |
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.