Stacy C S Shorette LPN

NPI 1467631754 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1467631754
Gender Female
Enumeration Date 11/02/2007
Last Updated 11/02/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1173 CHURCH RD
SAUGERTIES NY, 12477-3236, US
Phone (845) 247-3248
Fax
Business Location
1173 CHURCH RD
SAUGERTIES NY, 12477, US
Phone (845) 247-3248
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 245193
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According to our database, Stacy C S Shorette LPN NPI is 1467631754, taxonomy code is 164W00000X and license number is 245193, license state is located at New York. Stacy C S Shorette LPN physically located at 1173 Church Rd, Saugerties NY, 12477-3236. NPI Number Stacy C S Shorette LPN has the Individual type.

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1467631754 NPI number is provided on an as is basis without warranty of any kind. 1467631754 is maintained by the National Plan & Provider Enumeration System. The contents of Stacy C S Shorette LPN are for informational purposes only.