National Provider Identifier

Stacey Pickering, LPN

Stacey Pickering, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Sodus, NY and a listed phone number of (585) 698-5428.

NPI 1619544210Sodus, NYLicensed Practical Nurse

Profile Overview

NPI
1619544210
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 10, 2021
Last Updated
June 10, 2021

Practice Location

  • 5729 State Route 14
  • Sodus, NY 14551-9517

Phone: (585) 698-5428

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1619544210
Entity Type
Individual
Last Name
Pickering
First Name
Stacey
Name Prefix
MS.
Credential
LPN
Mailing Street Address
5729 State Route 14
Mailing City
Sodus
Mailing State
NY
Mailing ZIP Code
14551-9517
Mailing Country
US
Mailing Phone
(585) 698-5428
Practice Street Address
5729 State Route 14
Practice City
Sodus
Practice State
NY
Practice ZIP Code
14551-9517
Practice Country
US
Practice Phone
(585) 698-5428
Enumeration Date
June 10, 2021
Last Updated
June 10, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
June 10, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)