Individual provider · Type 1 NPI
Derica Stake, LPN
Licensed Practical Nurse · Greenup, KY
NPI number
1770242570
Active
Practice location
120 Bull String Ln
Greenup, KY 41144-6175
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 156627 (OH) |
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.
Other licensed practical nurse providers in Greenup
About NPI 1770242570
Derica Stake, LPN's National Provider Identifier is 1770242570, issued on Dec 9, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Greenup, KY. The record was last updated on Dec 9, 2021.