Individual
CALEB STUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601
(757) 594-2000
Mailing address
12120 LYNDELL PLANTATION DR, PANAMA CITY BEACH, FL 32407-2610
(757) 284-7306
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024177406
VA
390200000X
Student in an Organized Health Care Education/Training Program
RN9429866
FL
Other
Enumeration date
08/23/2018
Last updated
03/25/2019
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