Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Stacey Lynn Antonucci, CRNP

Individual provider Family Nurse Practitioner · NPI 1518116508

Mrs. Stacey Lynn Antonucci, CRNP is a Nurse Practitioner in Washington, Pennsylvania. Qualified in 2008, 18 years ago. Accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
18
Licensed in
PA
In the registry since
2008
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

90 W Chestnut St
Washington, PA 15301-4524
Phone: (724) 228-7113
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP009961 (PA)

Record details

NPI number1518116508
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedSeptember 15, 2008
Last updated in NPPESJune 18, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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