Individual
STACY B. DI MATTEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-1431
(859) 323-5956
(859) 323-1080
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-3590
(859) 257-1000
(859) 323-1080
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3011031
KY
Other
Enumeration date
02/03/2017
Last updated
10/03/2024
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