Individual
STACY VAN WEDDINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
4 VILLAGE WAY UNIT L5, VERNON, NJ 07462-3112
(973) 768-7182
Mailing address
4 VILLAGE WAY UNIT L5, VERNON, NJ 07462-3112
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
26NP08154300
NJ
164W00000X
Licensed Practical Nurse
Primary
341817
NY
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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