Individual
CARRIE A. STOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
GASTRO-INTESTINAL ASSOCIATES, INC., 2793 SHAWNEE RD., LIMA, OH 45806-1444
(419) 227-8209
(419) 222-6007
Mailing address
GASTRO-INTESTINAL ASSOCIATES, INC., 2793 SHAWNEE RD, LIMA, OH 45806-1444
(419) 227-8209
(419) 222-6007
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
COA07379-NP
OH
363L00000X
Nurse Practitioner
Primary
COA.07379-NP
OH
363LF0000X
Family Nurse Practitioner
07379
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2415818
—
OH
01
—
P00864681
MEDICARE RR
OH
Enumeration date
12/05/2005
Last updated
12/20/2011
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