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Individual
STACY SHERRER WHITE
Active
Individual
STACY SHERRER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9314437
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002768300
—
FL
05
—
122989
—
AL
01
—
593-05599
BLUE CROSS BLUE SHIELD
AL
01
—
G00JS
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/28/2010
Last updated
11/14/2011
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