Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERICA STAKE, LPN
Active Sole ProprietorDERICA STAKE, LPN is a Licensed Practical Nurse healthcare provider located in GREENUP, Kentucky. NPI 1770242570 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · GREENUP, KY
Registration Details
- NPI Number
- 1770242570
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 9, 2021 (4.682619117101 yrs)
- Last Updated
- Dec 9, 2021
- License
-
156627 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
120 BULL STRING LNGREENUP, KY, 411446175Browse KY providers · Browse ZIP 41144
- Phone
- 6069228207
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in GREENUP, KY
| Name | Credential | NPI |
|---|---|---|
| ANITA RENEE LARGE | LPN | 1407283062 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.