Individual provider · Type 1 NPI

Stacey R. Green, LPN

Licensed Practical Nurse · Syracuse, NY

NPI number 1780200758 Active

Practice location

707 Meadowbrook Dr
Syracuse, NY 13210-3113

Call (315) 726-4308 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X321760 (NY)

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 1780200758

Stacey R. Green, LPN's National Provider Identifier is 1780200758, issued on Jun 24, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Syracuse, NY. The record was last updated on Jun 24, 2020.