Lawanda Lorraine Stoudimire
Individual provider Active NPI Nurse's Aide · Syracuse, IN
NPI 1386948933 · NPPES record last updated Dec 22, 2010
Key facts
- NPI
- 1386948933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- CNA0403892 (IN)
- Practice address
- 4665 E Sunset Dr
Syracuse, IN 46567-9168 - Phone
- (866) 627-8233
- NPI assigned
- Dec 22, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNA0403892 | IN | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CNA0403892 | IN | Yes |
Addresses
Primary practice location
4665 E Sunset Dr
Syracuse, IN 46567-9168
Mailing address
4665 E Sunset Dr
Syracuse, IN 46567-9168
Other providers in Syracuse, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.