Stacie Lynn Dewitt

NPI #1720449440 in Vermilion, Ohio

Provider Information

NPI Number: 1720449440
Entity Type: Individual
Name: Stacie Lynn Dewitt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nurse's Aide
Enumeration Date: Mar 8, 2016
Last Updated: Mar 8, 2016

Practice Location

Address: 460 NANTUCKET PL
Address 2: APT M
City: Vermilion
State: Ohio
ZIP Code: 44089-3281
Phone: (440) 989-6420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Nurse's Aide	376K00000X	Primary

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