IndividualActive
Mary Stacy, FNP
NPI 1790741072 · Family Nurse Practitioner · Manchester Center, VT
Provider details
- NPI number
- 1790741072
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 101-0019775 (VT)
Practice location
5957 Main St
Northshire Medical Center
Manchester Center, VT 05255-8913
Phone: (802) 362-4440
Fax: (802) 362-7146
Mailing address
5957 Main Street
Manchester, VT 05255
Registry dates
- Enumerated
- 2006-04-25
- Last updated
- 2014-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.