| Doctor Name: | ANGELA MICHELLE STOLLER |
| NPI Number: | 1043244023 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | APN904 |
| Business Practice Address: | 1336 Highway 14 Simpsonville, SC - 296815637 |
| Business Phone Number: | 8645278600 |
| Business Fax Number: | 8645278636 |
| Mailing Address: | 1336 Highway 14, SIMPSONVILLE |
| State: | SC |
| Postal Code: | 296815637 |
| Phone Number: | 8645278600 |
| Fax Number: | 8645278636 |
| NPI Enumeration Date: | 07/10/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN904 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |