Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 0101235839 | VA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 0101235839 | VA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 0101235839 | VA |
NPI | 1306915947 |
---|---|
Provider Name | Ms. Angela R Stiltner |
First Address | Charlottesville, VA 22911 |
Second Address | Charlottesville, VA 22911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 08/11/2011 |