| Doctor Name: | MS. ANGELICA JOY STOUT |
| NPI Number: | 1871954453 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN385290 |
| Business Practice Address: | 24100 Briar Patch Dr Olmsted Falls, OH - 441383257 |
| Business Phone Number: | 4407312866 |
| Business Fax Number: | |
| Mailing Address: | 24100 Briar Patch Drive, OLMSTED FALLS |
| State: | OH |
| Postal Code: | 44138 |
| Phone Number: | 4407312866 |
| Fax Number: | |
| NPI Enumeration Date: | 03/10/2016 |
| NPI Last Update Date: | 03/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | RN385290 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |