STACEY M. DICKE L.P.N. NPI 1063541803

NPI Information

Stacey M. Dicke, L.P.N. is a licensed practical nurse in Cortland, NY. The provider is a licensed practical nurse 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. Stacey M. Dicke, L.P.N. NPI is 1063541803. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

30 DELAWARE AVE
CORTLAND, NY
ZIP 13045-335
Phone: (607) 753-0513

The enumeration date for this NPI number is 3/5/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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