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Mr. Roderic Stabler, LPN
Licensed Practical Nurse in Freeville, New York
NPI 1700083219

Roderic Stabler is a Licensed Practical Nurse based in Freeville, NY. Roderic Stabler practices in Freeville, NY and has the professional credentials of LPN. The NPI Number for Roderic Stabler is 1700083219 and holds a License No. 275173-1 (New York).

The current practice location address for Roderic Stabler is 888 W Dryden Rd, Freeville, NY and can be reached out via phone at 607-379-0139.

Location: 888 W Dryden Rd, Freeville, NY, 13068-5741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700083219
Provider Name
Roderic Stabler
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
888 W Dryden Rd, Freeville, NY, 13068-5741
Phone Number
607-379-0139
Fax Number
Provider Enumeration Date
06/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02511833 05 NY
institution
Provider Business Practice Location Address Details
Address
888 W Dryden Rd
City
Freeville
State
New York
Zip
13068-5741
Phone Number
607-379-0139
Fax Number
person
Provider Business Mailing Address Details
Address
888 W Dryden Rd
City
Freeville
State
New York
Zip
13068-5741
Phone Number
607-379-0139
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
275173-1 (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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