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NPI Code Detail

MEDICARE: MS. ANGELINE CLAIRE STIKELEATHER C.N.M.

MEDICARE: MS. ANGELINE CLAIRE STIKELEATHER C.N.M.
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
1163WM0102XMaternal Newborn Registered NurseMW008371LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164419099
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGELINE CLAIRE STIKELEATHER C.N.M.
Provider Business Mailing Address
First Line : 839 FOUNTAIN AVE
Second Line :
City : LANCASTER
State : PA
Zip : 17601-4532
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 694 GOOD DR
Second Line : MAY-GRANT ASSOCIATES
City : LANCASTER
State : PA
Zip : 17601-2433
Country : US
Telephone Number : 717-397-8177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2005
Last Update Date : 01/20/2010

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