Individual
TERESA STACKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 HIGH ST, WILLIAMSPORT HOSPITAL & MEDICAL CENTER, WILLIAMSPORT, PA 17701-3100
(570) 321-2385
Mailing address
1201 GRAMPIAN BLVD, PO BOX 3127, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN255201L
PA
Other
Enumeration date
01/10/2007
Last updated
05/24/2021
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