Individual
MICHAEL STEPHAN STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
315 OAK ST, LIVINGSTON, TN 38570-1728
(931) 823-5611
(615) 620-2320
Mailing address
PO BOX 440246, NASHVILLE, TN 37244-0246
(615) 620-2320
(615) 620-2323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN131795
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN11058
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4179675
BLUE CROSS/BLUE SHIELD OF TN
TN
Enumeration date
05/20/2006
Last updated
05/27/2010
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