Provider Demographics
NPI:1033532569
Name:STOUDMIRE, CACHET CAPRIE I (LPN)
Entity Type:Individual
Prefix:MISS
First Name:CACHET
Middle Name:CAPRIE
Last Name:STOUDMIRE
Suffix:I
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 1:170 FRANKLIN ST STE 205
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14202-2414
Mailing Address - Country:US
Mailing Address - Phone:716-856-2702
Mailing Address - Fax:716-956-8034
Practice Address - Street 1:170 FRANKLIN ST STE 205
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-2414
Practice Address - Country:US
Practice Address - Phone:716-856-2702
Practice Address - Fax:716-956-8034
Is Sole Proprietor?:No
Enumeration Date:2014-02-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY285062-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse