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

Stacy Diane Raverty, RN

Individual provider Gerontology Registered Nurse · NPI 1700716784

Stacy Diane Raverty, RN is a Gerontology Registered Nurse in Mankato, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

104 Meray Blvd
Mankato, MN 56001-4345
Phone: (507) 387-2037
Fax: (507) 387-2061
Show map & directions

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

Specialties & licences

Gerontology Registered Nurse (primary) Taxonomy 163WG0600X · Licence 1352210 (MN)

Record details

NPI number1700716784
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedMay 21, 2026
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026
Mailing address104 Meray Blvd, Mankato, MN 56001-4345