Individual provider · Type 1 NPI

Stacy ST Phard

Licensed Practical Nurse · Valley Stream, NY

NPI number 1013707355 Active

Practice location

20 Kalmia Ln
Valley Stream, NY 11581-2317

Call (917) 982-8201 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X34222-01 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1013707355

Stacy ST Phard's National Provider Identifier is 1013707355, issued on May 9, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Valley Stream, NY. The record was last updated on May 9, 2025.