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Derica Stake, LPN
Licensed Practical Nurse in Greenup, Kentucky
NPI 1770242570

Derica Stake is a Licensed Practical Nurse based in Greenup, KY. Derica Stake practices in Greenup, KY and has the professional credentials of LPN. The NPI Number for Derica Stake is 1770242570 and holds a License No. 156627 (Kentucky).

The current practice location address for Derica Stake is 120 Bull String Ln, Greenup, KY and can be reached out via phone at 606-922-8207.

Location: 120 Bull String Ln, Greenup, KY, 41144-6175
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770242570
Provider Name
Derica Stake
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
120 Bull String Ln, Greenup, KY, 41144-6175
Phone Number
606-922-8207
Fax Number
Provider Enumeration Date
12/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 Bull String Ln
City
Greenup
State
Kentucky
Zip
41144-6175
Phone Number
606-922-8207
Fax Number
person
Provider Business Mailing Address Details
Address
120 Bull String Ln
City
Greenup
State
Kentucky
Zip
41144-6175
Phone Number
606-922-8207
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
156627 (Ohio)
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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