Provider Demographics
NPI:1558055566
Name:STUMPO, ANGELITA MARIE
Entity Type:Individual
Prefix:
First Name:ANGELITA
Middle Name:MARIE
Last Name:STUMPO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 HUDSON AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-1902
Mailing Address - Country:US
Mailing Address - Phone:330-701-5733
Mailing Address - Fax:
Practice Address - Street 1:716 HUDSON AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-1902
Practice Address - Country:US
Practice Address - Phone:330-701-5733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide