National Provider Identifier

Stacey D McCloud, LPN

Stacey D McCloud, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 642-8354.

NPI 1629591326Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1629591326
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 25, 2017
Last Updated
July 25, 2017

Practice Location

  • 55 Garfield St
  • Rochester, NY 14611

Phone: (585) 642-8354

Mailing Address

  • 55 Garfield St
  • Rochester, NY 14611-2404

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1629591326
Entity Type
Individual
Last Name
McCloud
First Name
Stacey
Middle Name
D
Credential
LPN
Mailing Street Address
55 Garfield St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14611-2404
Mailing Country
US
Practice Street Address
55 Garfield St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14611
Practice Country
US
Practice Phone
(585) 642-8354
Enumeration Date
July 25, 2017
Last Updated
July 25, 2017
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)