National Provider Identifier

Stephanie Clintsman

Stephanie Clintsman is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Walworth, NY and a listed phone number of (585) 880-8288.

NPI 1275037863Walworth, NYLicensed Practical Nurse

Profile Overview

NPI
1275037863
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 20, 2018
Last Updated
March 20, 2018

Practice Location

  • Stephanie Clintsman 1688 Waterford RD
  • Walworth, NY 14568-9422

Phone: (585) 880-8288

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1275037863
Entity Type
Individual
Last Name
Clintsman
First Name
Stephanie
Mailing Street Address
Stephanie Clintsman 1688 Waterford RD
Mailing City
Walworth
Mailing State
NY
Mailing ZIP Code
14568-9422
Mailing Country
US
Mailing Phone
(585) 880-8288
Practice Street Address
Stephanie Clintsman 1688 Waterford RD
Practice City
Walworth
Practice State
NY
Practice ZIP Code
14568-9422
Practice Country
US
Practice Phone
(585) 880-8288
Enumeration Date
March 20, 2018
Last Updated
March 20, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)