Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derica Stake, LPN

Individual provider Licensed Practical Nurse · NPI 1770242570

Derica Stake, LPN is a Licensed Practical Nurse in Greenup, Kentucky. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2021
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

120 Bull String Ln
Greenup, KY 41144-6175
Phone: (606) 922-8207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 156627 (OH)

Record details

NPI number1770242570
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedDecember 9, 2021
Last updated in NPPESDecember 9, 2021
Certification dateDecember 9, 2021
Mailing address120 Bull String Ln, Greenup, KY 41144-6175

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