Provider Demographics
NPI:1912346438
Name:SOMOGIE, STEPHANIE F (LPN)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:F
Last Name:SOMOGIE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 MOWRY RD
Mailing Address - Street 2:
Mailing Address - City:MONACA
Mailing Address - State:PA
Mailing Address - Zip Code:15061-2223
Mailing Address - Country:US
Mailing Address - Phone:724-495-3533
Mailing Address - Fax:
Practice Address - Street 1:659 3RD ST
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-2115
Practice Address - Country:US
Practice Address - Phone:724-775-1118
Practice Address - Fax:724-775-2375
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN286627164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse