Stacie R Wortman, LPN
Licensed Practical Nurse in Lancaster, OH. Individual provider (NPI-1).
NPI number1508053166
StatusActive
Last updated in NPPESSep 27, 2007
Details
- NPI
- 1508053166
- Entity type
- Individual (NPI-1)
- Name
- Stacie R Wortman
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 27, 2007
- Last updated
- Sep 27, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN118427IV | OH | Yes |
Practice location
2771 Boving Rd SwLancaster, OH 43130-8939
Phone 740-654-7212
Mailing address
2771 Boving Rd SwLancaster, OH 43130-8939
Phone 740-654-7212 · Fax 740-654-7212
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