Stacy Marie Wilson, LPN
NPI #1194276584 in Gloversville, New York
Provider Information
- NPI Number
- 1194276584
- Entity Type
- Individual
- Name
- Stacy Marie Wilson, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Oct 20, 2016
- Last Updated
- Oct 20, 2016
Practice Location
- Address
- 127 EAST STATE STREET
- City
- Gloversville
- State
- New York
- ZIP Code
- 12078-1204
- Phone
- (518) 775-5354
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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