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

Stacie Phan, RN

Individual provider Medical-Surgical Registered Nurse · NPI 1538605050

Stacie Phan, RN is a Medical-Surgical Registered Nurse in Rochester, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

973 E Ave
Rochester, NY 14607-2216
Phone: (585) 244-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 348130 (NY)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence 717751-1 (NY)

Record details

NPI number1538605050
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJanuary 7, 2017
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024

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