Most Relevant Information
Provider Data
| NPI Number: | 1003257312 |
| Provider Name: | STACY MARIE SADDLER LPN-M-IV |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | PN.139689-M-IV |
Most Important Dates
| Enumeration Date: | 07/15/2013 |
| Last Updated: | 10/04/2021 |
Provider Practice Location
639 ROBINSON ROAD
WOOSTER
OH
44691
Practice Location Phone/Fax
| Phone: | 3302015136 |
| Fax: |
Provider Mailing Location
681 BURNS ST
MANSFIELD
OH
449031062
Provider Mailing Phone/Fax
| Phone: | 4195434519 |
| Fax: |