| Phyllis C Stackhouse, CRNP | |
|
476 Rolling Ridge Dr, Suite 101, State College, PA 16801-7639 | |
| (814) 689-4980 | |
| (814) 689-4990 |
| Full Name | Phyllis C Stackhouse |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 476 Rolling Ridge Dr, State College, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215056718 | NPI | - | NPPES |
| 103171579 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN-204012-L (Pennsylvania) | Secondary |
| 363L00000X | Nurse Practitioner | SP-001330-D (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Phyllis C Stackhouse, CRNP 476 Rolling Ridge Dr, Suite 101, State College, PA 16801-7639 Ph: (814) 689-4980 | Phyllis C Stackhouse, CRNP 476 Rolling Ridge Dr, Suite 101, State College, PA 16801-7639 Ph: (814) 689-4980 |
Melissa Ann Wallace, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 University Dr, State College, PA 16801 Phone: 814-238-8418 Fax: 814-234-2888 | |
Katy Nelson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 476 Rolling Ridge Dr, State College, PA 16801 Phone: 814-689-4980 | |
Kimberly Anne Handel, MSN, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 E Park Ave, Suite 310, State College, PA 16803 Phone: 814-863-8492 | |
Melissa Kulbis, AGNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 Innovation Blvd, State College, PA 16803 Phone: 877-779-2429 | |
Megan Waite, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-231-7000 | |
Michelle M. Black, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Radnor Rd Ste 100, State College, PA 16801 Phone: 814-231-7868 Fax: 814-238-4169 | |
Karen E. Cherinka, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 E Park Ave Ste 312, State College, PA 16803 Phone: 814-689-3156 Fax: 814-689-1954 |