Provider Demographics
NPI:1487289468
Name:STAKELEY, AMY J (CRNP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:J
Last Name:STAKELEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1633 ROUTE 51 STE 105
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3652
Mailing Address - Country:US
Mailing Address - Phone:412-223-5689
Mailing Address - Fax:412-693-9817
Practice Address - Street 1:1633 ROUTE 51 STE 105
Practice Address - Street 2:
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025-3652
Practice Address - Country:US
Practice Address - Phone:412-223-5689
Practice Address - Fax:412-693-9817
Is Sole Proprietor?:No
Enumeration Date:2020-03-10
Last Update Date:2025-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP020912363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily