Individual provider · Type 1 NPI

Stacie Rae Large, RN

Registered Nurse · Fort Leavenworth, KS

NPI number 1407061856 Active

Practice location

550 Pope Ave
Fort Leavenworth, KS 66027-2332

Call (913) 684-6000 Map

Mailing address

2700 S 22nd St
Leavenworth, KS 66048-4059

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X14-100760-112 (KS)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1407061856

Stacie Rae Large, RN's National Provider Identifier is 1407061856, issued on May 11, 2007. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fort Leavenworth, KS. The record was last updated on Jul 8, 2007.