Stacy R. Coss, LPN
Licensed Practical Nurse in Chandlersville, OH. Individual provider (NPI-1).
NPI number1750674792
StatusActive
Last updated in NPPESApr 19, 2015
Details
- NPI
- 1750674792
- Entity type
- Individual (NPI-1)
- Name
- Stacy R. Coss
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 24, 2011
- Last updated
- Apr 19, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN. 124273 | OH | Yes |
Practice location
2521 Three Towers RdChandlersville, OH 43727-9629
Phone 740-221-3299
Mailing address
2521 Three Towers RdChandlersville, OH 43727-9629
Phone 740-221-3299
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