Individual provider · Type 1 NPI

Stacey O'Shea Bonomo, LPN

Licensed Practical Nurse · Springfield, OR

NPI number 1821393430 Active

Practice location

2073 Olympic Street, #304
Springfield, OR 97477-3413

Fax (541) 682-3551

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X200530455LPN (OR)

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 1821393430

Stacey O'Shea Bonomo, LPN's National Provider Identifier is 1821393430, issued on Jan 13, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Springfield, OR. The record was last updated on Apr 27, 2011.