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NPI Code Detail

MEDICARE: ANGEL RENEE STOTLER

MEDICARE:   ANGEL RENEE STOTLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1083561989
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGEL RENEE STOTLER
Provider Business Mailing Address
First Line : 106 SAND MINE RD
Second Line :
City : BERKELEY SPRINGS
State : WV
Zip : 25411-7457
Country : US
Telephone Number : 304-258-3096
Fax Number :
Provider Business Practice Location Address
First Line : 106 SAND MINE RD
Second Line :
City : BERKELEY SPRINGS
State : WV
Zip : 25411-7457
Country : US
Telephone Number : 304-258-3096
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “ ANGEL RENEE STOTLER ” Practice Location

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