Ms. Mary Beth Stack
NURSE PRACTITIONER | Nurse Practitioner
2955 Ivy Rd, Suite 201 University Of Virginia Health System Northrid, Charlottesville
Virginia, 22903
434-243-4531
Ms. Mary Beth Stack is a Charlottesville, Virginia based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Ms. Mary Beth Stack is 0024096552 in Virginia. Her current practice location is 2955 Ivy Rd, Suite 201 University Of Virginia Health System Northrid, Charlottesville. Patients can reach her at 434-243-4531 or can fax her at 434-243-4717. Ms. Mary Beth Stack is NURSE PRACTITIONER with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1437234770.
Ms. Mary Beth Stack has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. Mary Beth Stack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ms. Mary Beth Stack |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NURSE PRACTITIONER |
| Practice Address: | 2955 Ivy Rd, Suite 201 University Of Virginia Health System Northrid, Charlottesville,
Virginia, 22903 |
| Phone: | 434-243-4531 |
| Fax: | 434-243-4717 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1437234770 |
| NPI Enumeration Date: | 26 Oct, 2006 |
| NPI Last Update On: | 06 Jan, 2015 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Mary Beth Stack are as mentioned below.
| License Number | Specialization | State | Status | |
| 0024096552 | | Virginia | Primary | |
| 0001096552 | Registered Nurse | Virginia | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Mary Beth Stack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| C07038 | Other | | CMS GROUP |
| 500029674 | Other | | RAILROAD |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ms. Mary Beth Stack
588 B Reservoir Ridge Rd,
Charlottesville, Virginia |
| Zip: | 22901 |
| Phone Number: | 434-978-1361 |
Patients can reach Ms. Mary Beth Stack at
2955 Ivy Rd, Suite 201 University Of Virginia Health System Northrid, Charlottesville, Virginia or can
call to book an appointment on 434-243-4531.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.