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Charles Edward Stacy
Licensed Vocational Nurse in Fresno, California
NPI 1912663436

Charles Edward Stacy is a Licensed Vocational Nurse based in Fresno, CA. Charles Edward Stacy practices in Fresno, CA. The NPI Number for Charles Edward Stacy is 1912663436 and holds a License No. 282056 (California).

The current practice location address for Charles Edward Stacy is 1130 E Menlo Ave, Fresno, CA and can be reached out via phone at 562-833-1632.

Location: 1130 E Menlo Ave, Fresno, CA, 93710-4016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912663436
Provider Name
Charles Edward Stacy
Credential
Provider Entity Type
Individual
Gender
Male
Address
1130 E Menlo Ave, Fresno, CA, 93710-4016
Phone Number
562-833-1632
Fax Number
Provider Enumeration Date
11/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1130 E Menlo Ave
City
Fresno
State
California
Zip
93710-4016
Phone Number
562-833-1632
Fax Number
person
Provider Business Mailing Address Details
Address
1130 E Menlo Ave
City
Fresno
State
California
Zip
93710-4016
Phone Number
562-833-1632
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
282056 (California)
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. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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