NPI 1689229080 · live from the CMS NPI Registry
Stacy Jo Huck, CPNP-PC, ARNP
Nurse Practitioner, Pediatrics in Waverly, IA. National Provider Identifier 1689229080, active.
NPI record
| NPI | 1689229080 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 312 9th St Sw, Waverly, IA 50677 |
| Practice phone | 319-352-4120 |
| Mailing address | 1139 130th St, Plainfield, IA 50666 |
| Enumerated | August 3, 2019 |
| Last updated | September 13, 2019 |
| Sole proprietor | No |
| Other names | Stacy White |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | C155255 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.