Individual
MS. STACY ANNE TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7831
(928) 537-4375
Mailing address
3528 W WHITE OAK ST, UNIT D, HOBBS, NM 88242
(631) 294-2917
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
591530
NY
367500000X
Certified Registered Nurse Anesthetist
119589
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
315337
AZ
Other
Enumeration date
09/06/2019
Last updated
12/04/2024
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