Individual provider · Type 1 NPI

Charlie C. Stacy

Licensed Practical Nurse · Rootstown, OH

NPI number 1013206374 Active

Practice location

4014 Bower Rd
Rootstown, OH 44272-9231

Call (330) 325-7636 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN 142404 (OH)

Licensed Practical Nurse: An individual 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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About NPI 1013206374

Charlie C. Stacy's National Provider Identifier is 1013206374, issued on Apr 6, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rootstown, OH. The record was last updated on Apr 6, 2011.