Individual
STEPHANIE E LIST
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
793 W STATE ST, COLUMBUS, OH 43222-1551
(614) 552-0061
(614) 552-0168
Mailing address
12941 STONECREEK DR, UNIT A, PICKERINGTON, OH 43147-8424
(614) 552-0061
(614) 552-0168
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA-073794
OH
Other
Enumeration date
02/01/2006
Last updated
07/08/2007
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