Individual provider · Type 1 NPI

Stacy Tom

Registered Nurse · Wellsboro, PA

NPI number 1487543864 Active

Practice location

32-36 Central Ave
Wellsboro, PA 16901-1899

Mailing address

482 Benauer Rd
Wellsboro, PA 16901-7806

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN509457L (PA)

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 1487543864

Stacy Tom's National Provider Identifier is 1487543864, issued on Jul 1, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Wellsboro, PA. The record was last updated on Jul 1, 2025.