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Stacey O'shea Bonomo, LPN
Licensed Practical Nurse in Springfield, Oregon
NPI 1821393430

Stacey O'shea Bonomo is a Licensed Practical Nurse based in Springfield, OR. Stacey O'shea Bonomo practices in Springfield, OR and has the professional credentials of LPN. The NPI Number for Stacey O'shea Bonomo is 1821393430 and holds a License No. 200530455LPN (Oregon).

The current practice location address for Stacey O'shea Bonomo is 2073 Olympic Street, Springfield, OR and can be reached out via phone at 541-682-3550 and via fax at 541-682-3551.

Location: 2073 Olympic Street, Springfield, OR, 97477-3413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821393430
Provider Name
Stacey O'shea Bonomo
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
2073 Olympic Street, Springfield, OR, 97477-3413
Phone Number
541-682-3550
Fax Number
541-682-3551
Provider Enumeration Date
01/13/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2073 Olympic Street
City
Springfield
State
Oregon
Zip
97477-3413
Phone Number
541-682-3550
Fax Number
541-682-3551
person
Provider Business Mailing Address Details
Address
2073 Olympic Street
City
Springfield
State
Oregon
Zip
97477-3413
Phone Number
541-682-3550
Fax Number
541-682-3551
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
200530455LPN (Oregon)
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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