Provider Demographics
NPI:1891450086
Name:BEST-NIEVES, STACY PATRICIA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:STACY
Middle Name:PATRICIA
Last Name:BEST-NIEVES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 BAINBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233-1902
Mailing Address - Country:US
Mailing Address - Phone:718-450-6650
Mailing Address - Fax:
Practice Address - Street 1:20515 HOLLIS AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11412-1417
Practice Address - Country:US
Practice Address - Phone:718-217-3744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY348751363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty