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

Rachael Mary Stacom, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1184893497

Rachael Mary Stacom, ANP is an Adult Health Nurse Practitioner in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

1770 Grand Concourse Ste 2G
Bronx, NY 10457-5524
Phone: (718) 393-7617
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 304736 (NY)

Record details

NPI number1184893497
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorYes
NPI enumeratedFebruary 21, 2008
Last updated in NPPESFebruary 21, 2008

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