Individual provider · Type 1 NPI

Stephanie Theodore, LPN

Licensed Practical Nurse · Woburn, MA

NPI number 1548847775 Active

Practice location

9 Forbes Rd
Woburn, MA 01801-2103

Call (781) 838-6757 Map

Fax (781) 939-6968

Mailing address

101 Willowwood St Apt 2
Dorchester, MA 02124-4040

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLN86292 (MA)

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 1548847775

Stephanie Theodore, LPN's National Provider Identifier is 1548847775, issued on Mar 25, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Woburn, MA. The record was last updated on Mar 25, 2021.