NPI 1093114837

Stacy Lynn Street

Practitioner Home Health Aide Greensboro, NC

Practice location

Address: 2401 Larkspur Drive, Greensboro, NC 27405-5431
Phone: (336) 212-2730

Registered specialties (3)

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X

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Nurse's Aide

Nursing Service Related Providers Taxonomy 376K00000X

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Registry record

NPI: 1093114837
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Aug 2014
Record last updated: 18 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.