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Individual

NANCY L STITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1114 SUNSET DR, SUITE 4, JOHNSON CITY, TN 37604-2969
(423) 283-0776
(423) 283-0549
Mailing address
PO BOX 1070, JOHNSON CITY, TN 37605-1070
(423) 283-0776
(423) 283-0549

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
10628
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3632668
TN
Enumeration date
08/24/2005
Last updated
05/09/2014
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