Individual
CAROLINE J STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1264 PLUM ST, PRATTVILLE, AL 36066-5330
(334) 467-0836
Mailing address
1264 PLUM ST, PRATTVILLE, AL 36066-5330
(334) 467-0836
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-150903
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1-150903
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2021
Last updated
05/02/2023
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