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

MS. Mary Beth Stack, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1437234770

MS. Mary Beth Stack, NURSEPRACTITIONER is a Registered Nurse in Charlottesville, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

2955 Ivy Rd Ste 201 University OF Virginia Health System Northrid
Charlottesville, VA 22903
Phone: (434) 243-4531
Fax: (434) 243-4717
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024096552 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 0001096552 (VA)

Record details

NPI number1437234770
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedOctober 26, 2006
Last updated in NPPESJanuary 6, 2015
Mailing address588 B Reservoir Ridge Rd, Charlottesville, VA 22901

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