Tammy Sue Stacy LPN

NPI 1952580540 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1952580540
Gender Female
Enumeration Date 10/30/2007
Last Updated 10/30/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3496 OAKLAND LOCUST RIDGE RD
BETHEL OH, 45106-9660, US
Phone (937) 444-2174
Fax
Business Location
3496 OAKLAND LOCUST RIDGE RD
BETHEL OH, 45106-9660, US
Phone (937) 444-2174
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Ohio
License Number PN108484
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According to our database, Tammy Sue Stacy LPN NPI is 1952580540, taxonomy code is 164W00000X and license number is PN108484, license state is located at Ohio. Tammy Sue Stacy LPN physically located at 3496 Oakland Locust Ridge Rd, Bethel OH, 45106-9660. NPI Number Tammy Sue Stacy LPN has the Individual type.

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1952580540 NPI number is provided on an as is basis without warranty of any kind. 1952580540 is maintained by the National Plan & Provider Enumeration System. The contents of Tammy Sue Stacy LPN are for informational purposes only.