Individual provider · Type 1 NPI

Stacy Marie Wilson, LPN

Licensed Practical Nurse · Gloversville, NY

NPI number 1194276584 Active

Practice location

127 East State Street
Gloversville, NY 12078-1204

Call (518) 775-5354 Map

Mailing address

511 North Green Rd
Fultonville, NY 12072

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	316128-1 (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.

2 other providers at this address

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About NPI 1194276584

Stacy Marie Wilson, LPN's National Provider Identifier is 1194276584, issued on Oct 20, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Gloversville, NY. The record was last updated on Oct 20, 2016.