CHARLIE C STACY
NPI 1013206374
Licensed Practical Nurse in Rootstown, OH
- Individual
- Male
- Licensed Practical Nurse
About CHARLIE STACY
This page provides the complete NPI Profile along with additional information for Charlie Stacy, a provider established in Rootstown, Ohio with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1013206374 assigned on April 2011. The practitioner's primary taxonomy code is 164W00000X with license number PN 142404 (OH). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1013206374 Verify this NPI
- Provider Name
- CHARLIE C STACY
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4014 BOWER RD ROOTSTOWN, OH 44272
- Location Phone
- (330) 325-7636
- Mailing Address
- 4014 BOWER RD ROOTSTOWN, OH 44272
- Mailing Phone
- (330) 325-7636
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-06-2011
- Last Update Date
- 04-06-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- PN 142404
- License State
- OH
- Taxonomy Description
- A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013206374, enumerated as an "individual" on April 06, 2011.
The provider is located at 4014 BOWER RD ROOTSTOWN, OH 44272 and the phone number is (330) 325-7636.
Licensed Practical Nurse with taxonomy code 164W00000X.
