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

Nathaniel William Stacy, CRPA-P

Individual provider Peer Specialist · NPI 1083325575

Nathaniel William Stacy, CRPA-P is a Peer Specialist in Utica, New York. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

624 Elizabeth St
Utica, NY 13501-2413
Phone: (315) 580-9748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1083325575
Entity typeIndividual (Type 1)
GenderMale
Credentials CRPA-P
Sole proprietorNo
NPI enumeratedDecember 6, 2022
Last updated in NPPESDecember 6, 2022
Certification dateDecember 6, 2022

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