STACEY GREEN, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1780200758
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 321760 (NY) |
Frequently Asked Questions
NPI 1780200758 is the National Provider Identifier for STACEY GREEN, LPN, a Licensed Practical Nurse provider located in Syracuse, NY. This NPI was enumerated on June 24, 2020.
STACEY GREEN, LPN practices at 707 MEADOWBROOK DR, Syracuse, NY 13210.
Quick Facts
- NPI
- 1780200758
- Type
- Individual
- Enumerated
- Jun 24, 2020
- Last Updated
- Jun 24, 2020
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