Individual provider · Type 1 NPI

Stacy Van Weddinger

Licensed Practical Nurse · Vernon, NJ

NPI number 1790673358 Active

Practice location

4 Village Way Unit L5
Vernon, NJ 07462-3112

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000X26NP08154300 (NJ)
Licensed Practical Nurse Primary 164W00000X341817 (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 1790673358

Stacy Van Weddinger's National Provider Identifier is 1790673358, issued on Jun 24, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Vernon, NJ. The record was last updated on Jun 24, 2025.