Individual
ANGELA LYNN STACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
612 OLD CAMDEN MONROE HWY, LANCASTER, SC 29720-9657
(839) 465-3117
Mailing address
612 OLD CAMDEN MONROE HWY APT SUITE, LANCASTER, SC 29720-9657
(839) 465-3117
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
221766
SC
363LF0000X
Family Nurse Practitioner
Primary
29036
SC
Other
Enumeration date
06/14/2024
Last updated
10/09/2024
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