Individual provider · Type 1 NPI

Stacy Nichole Anderson, LPN

Licensed Practical Nurse · Salem, VA

NPI number 1487595898 Active

Practice location

1970 Roanoke Blvd
Salem, VA 24153-6478

Mailing address

74 Homestead Cir
Troutville, VA 24175-6953

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X0002076254 (VA)

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 1487595898

Stacy Nichole Anderson, LPN's National Provider Identifier is 1487595898, issued on Apr 2, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Salem, VA. The record was last updated on Apr 2, 2026.