Stacy Tom
Registered Nurse in Wellsboro, PA. Individual provider (NPI-1).
NPI number1487543864
StatusActive
Last updated in NPPESJul 1, 2025
Details
- NPI
- 1487543864
- Entity type
- Individual (NPI-1)
- Name
- Stacy Tom
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 1, 2025
- Certification date
- Jul 1, 2025
- Last updated
- Jul 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN509457L | PA | Yes |
Practice location
32-36 Central AveWellsboro, PA 16901-1899
Phone 570-662-5395
Mailing address
482 Benauer RdWellsboro, PA 16901-7806
Phone 570-662-5395
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All 7 Registered Nurse providers in Wellsboro · All 330 providers in Wellsboro
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