National Provider Identifier

Stacey Herman, LPN

Stacey Herman, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Avon, NY and a listed phone number of (585) 438-3004.

NPI 1023394020Avon, NYLicensed Practical Nurse

Profile Overview

NPI
1023394020
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
October 24, 2011
Last Updated
October 24, 2011

Practice Location

  • 5390 E Avon RD
  • Apt. 4
  • Avon, NY 14414-1456

Phone: (585) 438-3004

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1023394020
Entity Type
Individual
Last Name
Herman
First Name
Stacey
Credential
LPN
Mailing Street Address
5390 E Avon RD
Mailing Address Line 2
Apt. 4
Mailing City
Avon
Mailing State
NY
Mailing ZIP Code
14414-1456
Mailing Country
US
Mailing Phone
(585) 438-3004
Practice Street Address
5390 E Avon RD
Practice Address Line 2
Apt. 4
Practice City
Avon
Practice State
NY
Practice ZIP Code
14414-1456
Practice Country
US
Practice Phone
(585) 438-3004
Enumeration Date
October 24, 2011
Last Updated
October 24, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)