Provider Demographics
NPI:1336888494
Name:STUART, LENORA MARIE (RN)
Entity type:Individual
Prefix:
First Name:LENORA
Middle Name:MARIE
Last Name:STUART
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:741 COUNTY ROUTE 101
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:NY
Mailing Address - Zip Code:14801-9242
Mailing Address - Country:US
Mailing Address - Phone:607-331-9796
Mailing Address - Fax:
Practice Address - Street 1:1 COLWELL ST
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:NY
Practice Address - Zip Code:14801-1335
Practice Address - Country:US
Practice Address - Phone:607-359-1134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-27
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY565405-01163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool