| Ms Mary Beth Stack, NURSE PRACTITIONER | |
| 
					2955 Ivy Rd, Suite 201 University Of Virginia Health System Northrid, Charlottesville, VA 22903  | |
| (434) 243-4531 | |
| (434) 243-4717 | 
| Full Name | Ms Mary Beth Stack | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 2955 Ivy Rd, Charlottesville, Virginia | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437234770 | NPI | - | NPPES | 
| C07038 | Other | CMS GROUP | |
| 500029674 | Other | RAILROAD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001096552 (Virginia) | Secondary | 
| 363L00000X | Nurse Practitioner | 0024096552 (Virginia) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Mary Beth Stack, NURSE PRACTITIONER 588 B Reservoir Ridge Rd, Charlottesville, VA 22901 Ph: (434) 978-1361  | Ms Mary Beth Stack, NURSE PRACTITIONER 2955 Ivy Rd, Suite 201 University Of Virginia Health System Northrid, Charlottesville, VA 22903 Ph: (434) 243-4531  | 
Norma Branham, R.N., N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2047  | |
Neil Peterson,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-243-0075  | |
Joy R Miller, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-243-2617  | |
Rebecca L Hand, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-982-1100  | |
Megan E. Kingdon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-9400 Fax: 434-982-1618  | |
Mrs. Stephanie Richardson Wilhelm, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Martha Jefferson Dr, Charlottesville, VA 22911 Phone: 434-654-7150  | |
Kimberly Conrad,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Lee St, Charlottesville, VA 22908 Phone: 434-924-9333 Fax: 434-244-7526  |