Individual
MRS. TABITHA RENEE STUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 PENSSYLVANIA AVE, CHARLESTON, WV 25302
(304) 388-2470
Mailing address
3306 VIRGINIA AVE SE, CHARLESTON, WV 25304-1307
(304) 550-3240
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
80090
WV
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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