| Doctor Name: | STACEY NIEVES |
| NPI Number: | 1336144146 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 25NR11115300 |
| Business Practice Address: | 1 Union St Suite 101 Robbinsville, NJ - 086914219 |
| Business Phone Number: | 6098907292 |
| Business Fax Number: | 2158608950 |
| Mailing Address: | 104 Pheasant Run, Suite 128 NEWTOWN |
| State: | PA |
| Postal Code: | 189403439 |
| Phone Number: | 2158603344 |
| Fax Number: | 2158608950 |
| NPI Enumeration Date: | 06/17/2005 |
| NPI Last Update Date: | 12/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 25NR11115300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |