STACY KUCHARCZK CPNP
NPI 1912924663
Nurse Practitioner - Pediatrics in Elizabeth City, NC

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

Active since July 17, 2006

1735 CITY CENTER BLVD, ELIZABETH CITY, NC 27909(252) 338-2155(252) 338-7704 Get Directions Write a Review

NPPES record last updated: December 11, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Stacy Kucharczk Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY KUCHARCZK CPNP (NPI 1912924663) is an individual pediatrics provider in Elizabeth City, North Carolina, licensed in North Carolina (5004933) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1912924663

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSTACY KUCHARCZKCredential: CPNP

Location Address1735 CITY CENTER BLVDElizabeth City, NC 27909-8960

Mailing Address1735 City Center BlvdElizabeth City, NC 27909-8960 · (252) 338-2155 · Fax (252) 338-7704

Phone(252) 338-2155

Fax(252) 338-7704

Sole ProprietorNo

Enumeration DateJuly 17, 2006

Last NPPES UpdateDecember 11, 2012

✔ NPI 1912924663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NC · 5004933

1735 CITY CENTER BLVD, Elizabeth City, NC 27909

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Other Identifiers 3

Medicaid7787758VA

Other541778786NC · Nc Health Ch

Other28859NVA · Optima, Ofc,famis

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CMG OF NORTH CAROLINA, INC.

Pediatrics