Charlie C Stacy is a licensed practical nurse in Rootstown, OH. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Charlie C Stacy NPI is 1013206374. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
4014 BOWER RD
ROOTSTOWN, OH
ZIP 44272-231
Phone: (330) 325-7636
The enumeration date for this NPI number is 4/6/2011 and was last updated on 4/6/2011.