Individual
DANA STICKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1310 WOLF PARK DR, GERMANTOWN, TN 38138-1741
(901) 428-8311
Mailing address
2020 EXETER RD, GERMANTOWN, TN 38138-3945
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
218172
TN
163W00000X
Registered Nurse
224134
SC
163W00000X
Registered Nurse
344158
OH
367500000X
Certified Registered Nurse Anesthetist
19977
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
21792
TN
Other
Enumeration date
01/28/2016
Last updated
07/26/2022
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