National Provider Identifier

Stacy Lorraine Holmes

Stacy Lorraine Holmes is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 775-1588.

NPI 1679926125Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1679926125
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 20, 2016
Last Updated
January 29, 2025

Practice Location

  • 157 Roxborough RD
  • Rochester, NY 14619-1417

Phone: (585) 775-1588

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1679926125
Entity Type
Individual
Last Name
Holmes
First Name
Stacy
Middle Name
Lorraine
Name Prefix
Miss
Mailing Street Address
157 Roxborough RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14619-1417
Mailing Country
US
Mailing Phone
(585) 775-1588
Practice Street Address
157 Roxborough RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-1417
Practice Country
US
Practice Phone
(585) 775-1588
Enumeration Date
July 20, 2016
Last Updated
January 29, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
January 29, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
04579791 (NY)