Dr BRENDA STACK is a female medical professional, specializing in Nurse Practitioner. She graduated in 2013.
GUTHRIE MEDICAL GROUP PC
1011 N ELMER AVE
PEDIATRICS
SAYRE
PA
188401625
Tel: 5708873070
| Npi | 1164851259 |
| Pac Id | 1254568975 |
| Professional Enrollment Id | I20131228000175 |
| Last Name | STACK |
| First Name | BRENDA |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | GUTHRIE MEDICAL GROUP PC |
| Group Practice Pac Id | 6002728656 |
| Number Of Group Practice Members | 536 |
| Line 1 Street Address | 1011 N ELMER AVE |
| Line 2 Street Address | PEDIATRICS |
| Marker Of Address Line 2 Suppression | |
| City | SAYRE |
| State | PA |
| Zip Code | 188401625 |
| Phone Number | 5708873070 |
| Hospital Affiliation Ccn 1 | 390236 |
| Hospital Affiliation Lbn 1 | GUTHRIE TOWANDA MEMORIAL HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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