Individual
PATRICK STOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN CRNA
Contact information
Practice address
2420 LAKE ROAD, ASHTABULA, OH 44004-0002
(440) 997-2262
Mailing address
4343 BROOKS RD, ASHTABULA, OH 44004-8692
(440) 813-3225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
311893
OH
367500000X
Certified Registered Nurse Anesthetist
COA10696NA
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN311893
OH
367500000X
Certified Registered Nurse Anesthetist
RN593061
PA
Other
Enumeration date
05/23/2008
Last updated
02/13/2019
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