Individual
MR. STETLER LADD SHUMWAY
Active
Individual
MR. STETLER LADD SHUMWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
247971
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
9124570-8901
UT
367500000X
Certified Registered Nurse Anesthetist
C-APN.0102249-C-CRNA
CO
Other
Enumeration date
06/16/2021
Last updated
12/11/2024
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