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Stacey M. Dicke, LPN
Licensed Practical Nurse in Cortland, New York
NPI 1063541803

Stacey M. Dicke is a Licensed Practical Nurse based in Cortland, NY. Stacey M. Dicke practices in Cortland, NY and has the professional credentials of LPN. The NPI Number for Stacey M. Dicke is 1063541803 and holds a License No. 248239 (New York).

The current practice location address for Stacey M. Dicke is 30 Delaware Ave, Cortland, NY and can be reached out via phone at 607-753-0513.

Location: 30 Delaware Ave, Cortland, NY, 13045-3335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063541803
Provider Name
Stacey M. Dicke
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
30 Delaware Ave, Cortland, NY, 13045-3335
Phone Number
607-753-0513
Fax Number
Provider Enumeration Date
03/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02113399 05 NY
institution
Provider Business Practice Location Address Details
Address
30 Delaware Ave
City
Cortland
State
New York
Zip
13045-3335
Phone Number
607-753-0513
Fax Number
person
Provider Business Mailing Address Details
Address
30 Delaware Ave
City
Cortland
State
New York
Zip
13045-3335
Phone Number
607-753-0513
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
248239 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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