Provider Demographics
NPI:1134166424
Name:FERRERI, STACY LYN (CRNA)
Entity type:Individual
Prefix:
First Name:STACY
Middle Name:LYN
Last Name:FERRERI
Suffix:
Gender:
Credentials:CRNA
Other - Prefix:
Other - First Name:STACY
Other - Middle Name:
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:5 LANDING LN
Mailing Address - Street 2:
Mailing Address - City:SOMERS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08244-1141
Mailing Address - Country:US
Mailing Address - Phone:610-755-7037
Mailing Address - Fax:609-904-6114
Practice Address - Street 1:1 PLAINSBORO RD
Practice Address - Street 2:
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-1913
Practice Address - Country:US
Practice Address - Phone:609-853-7340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ75015367500000X
NJ26NR11294000163W00000X
PARN524736L367500000X
NJ26NJ00457100367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA099379Medicare PIN