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

Phyllis C Stackhouse, CRNP

Individual provider Registered Nurse · NPI 1215056718

Phyllis C Stackhouse, CRNP is a Registered Nurse in State College, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

476 Rolling Ridge Dr Ste 101
State College, PA 16801-7639
Phone: (814) 689-4980
Fax: (814) 689-4990
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP-001330-D (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN-204012-L (PA)

Record details

NPI number1215056718
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMarch 28, 2007
Last updated in NPPESDecember 15, 2016

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